Individual
EBONY BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
33150 SCHOOLCRAFT RD STE L4, LIVONIA, MI 48150-1631
(888) 717-2102
Mailing address
33150 SCHOOLCRAFT RD STE L4, LIVONIA, MI 48150-1631
(888) 717-2102
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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