Individual
EBONI REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2129 CONGRESBURY PL, UPPER MARLBORO, MD 20774-8081
(202) 321-7719
Mailing address
400 GALLOWAY ST NE APT 343N, WASHINGTON, DC 20011-6458
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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