Individual
EBONY EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5621 IRONWOOD CT APT C, COLUMBUS, OH 43229-4353
(614) 589-8310
Mailing address
5621 IRONWOOD CT APT C, COLUMBUS, OH 43229-4353
(614) 589-8310
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
OH
376K00000X
Nurse's Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3110065
—
OH
Enumeration date
07/31/2014
Last updated
07/31/2014
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