Individual
MISS EBONY KENYATTA PENDARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2506 QUEENS CHAPEL RD APT 3, HYATTSVILLE, MD 20782-3647
(240) 764-8940
Mailing address
2506 QUEENS CHAPEL RD APT 3, HYATTSVILLE, MD 20782-3647
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10150
DC
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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