Individual
EBONY HUTCHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12208 BONANZA TRL, LUSBY, MD 20657-3660
(240) 237-0607
Mailing address
12208 BONANZA TRL, LUSBY, MD 20657-3660
(240) 237-0607
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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