Individual
MRS. EBONY SEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3755 WHITE SWAN DR, ROCHESTER, NY 14626-5323
(585) 709-7052
Mailing address
3755 WHITE SWAN DR, ROCHESTER, NY 14626-5323
(585) 709-7052
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
341777600302E
NY
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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