Individual
MRS. EBONY PEARL OMOTOSHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2211 TOWN CENTER DR SE, WASHINGTON, DC 20020-4001
(571) 622-0555
Mailing address
2211 TOWN CENTER DR SE, WASHINGTON, DC 20020-4001
(571) 622-0555
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA20001252
DC
376K00000X
Nurse's Aide
NA0000607355
DC
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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