Individual
EBONY WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
304 HAMPTON DR, SPOTSYLVANIA, VA 22551-8748
(888) 327-1322
Mailing address
304 HAMPTON DR, SPOTSYLVANIA, VA 22551-8748
(888) 327-1322
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
VA
Other
Enumeration date
01/08/2025
Last updated
03/13/2025
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