EBONIE STACY

BROOKLYN, NY
NPI1295523538
Former NameEBONIE MICKENS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-04-28
Last Update Date2025-04-28
Business Address
EBONIE STACY
126 E 53RD ST
BROOKLYN, NY 11203-2550
Phone number: 516-787-5108
Mailing Address
EBONIE STACY
126 E 53RD ST
BROOKLYN, NY 11203-2550
Phone number: 516-787-5108
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