Individual
MRS. EBONY PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
(202) 509-6253
Mailing address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
(202) 509-6253
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1562
DC
Other
Enumeration date
09/20/2012
Last updated
09/24/2012
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