Individual
EBONEE JORDAN PRINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1737 MORRIS AVE NE APT D, CANTON, OH 44705-3373
(330) 760-9726
Mailing address
1737 MORRIS AVE NE APT D, CANTON, OH 44705-3373
(330) 760-9726
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401100900610
OH
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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