Individual
CLAUDINE MARSHA EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED NURSE AIDE
Contact information
Practice address
2868 ROUTE 73 N STE 325, MAPLE SHADE, NJ 08052-2042
(914) 792-9129
Mailing address
2868 ROUTE 73 N STE 325, MAPLE SHADE, NJ 08052-2042
(914) 792-9129
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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