Individual
FRANK EBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500
Mailing address
13325 FAIRFIELD RIDGE AVE APT 438, HERNDON, VA 20171-6479
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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