Individual
EBONY HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2170 BOTT ST, YOUNGSTOWN, OH 44505-3807
(216) 374-6035
Mailing address
2170 BOTT ST, YOUNGSTOWN, OH 44505-3807
(216) 374-6035
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
09/08/2019
Last updated
09/08/2019
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