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Individual

EBONY ONEAK GASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CHW1

Contact information

Practice address
304 S JONES BLVD # 4062, LAS VEGAS, NV 89107-2623
(702) 583-8679
Mailing address
370 CASA NORTE DR UNIT 2096, NORTH LAS VEGAS, NV 89031-3331
(725) 227-7880

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CHW1-6232
NV

Other

Enumeration date
09/01/2025
Last updated
09/01/2025
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