Individual
EBONY JAITEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HOME CARE AIDE
Contact information
Practice address
1829 W MISSION AVE UNIT A, SPOKANE, WA 99201-2837
(414) 698-4649
Mailing address
1829 W MISSION AVE UNIT A, SPOKANE, WA 99201-2837
(414) 698-4649
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
61501640
WA
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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