Individual
EBONY LASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3268 JEFFERSON AVE # 1, CINCINNATI, OH 45220-2220
(513) 362-0052
Mailing address
6792 HARRISON AVE APT 45, CINCINNATI, OH 45247-3219
(513) 362-0052
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.023392
OH
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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