EBONI R BACON

WASHINGTON, DC
NPI1265132203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies172V00000X Community Health Worker
251S00000X 
Enumeration Date2023-03-08
Last Update Date2023-06-07
Business Address
EBONI R BACON
3300 PENNSYLVANIA AVE SE
WASHINGTON, DC 20020-2408
Phone number: 202-878-6626
Mailing Address
EBONI R BACON
18474 BROOKE RD
SANDY SPRING, MD 20860-1406
Phone number: 301-252-4253