Individual
EBONY V PEAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3665 KIPP CT, DAYTON, OH 45416-2108
(937) 613-4621
Mailing address
3665 KIPP CT, DAYTON, OH 45416-2108
(937) 613-4621
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
11/09/2023
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