Individual
EBONE STANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 IDA AVE, DONORA, PA 15033-1224
(412) 626-0434
Mailing address
619 LINCOLN ST, MONONGAHELA, PA 15063-2203
(412) 626-0434
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
050429021012R
AR
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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