Individual
EBONY MYART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2236 BROOK DR, KALAMAZOO, MI 49048-2806
(269) 492-7205
Mailing address
4430B LILAC LN APT 104, KALAMAZOO, MI 49006-5745
(269) 290-9168
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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