Individual
EMMANUEL EBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2312 RHODE ISLAND AVE NE, WASHINGTON, DC 20018-2829
(202) 635-6006
Mailing address
4839 12TH ST NE, WASHINGTON, DC 20017-2835
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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