Individual
EBONY BELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12474 TURTLE DOVE PL, WALDORF, MD 20602-1402
(301) 346-2488
Mailing address
12474 TURTLE DOVE PL, WALDORF, MD 20602-1402
(301) 346-2488
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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