Individual
EBONYE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
717 GREEN VALLEY RD STE 200, GREENSBORO, NC 27408-2156
(336) 370-7604
Mailing address
10 FENTON MAIN ST APT 575, CARY, NC 27511-7822
(267) 347-3236
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
10/19/2023
Last updated
07/17/2024
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