EBONY T SALLIS

LAVEEN, AZ
NPI1407669344
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  lpn092214)
Enumeration Date2025-01-27
Last Update Date2025-01-27
Business Address
EBONY T SALLIS LPN
3921 W BASELINE RD
LAVEEN, AZ 85339-1801
Phone number: 623-606-7532
Mailing Address
EBONY T SALLIS LPN
250 APPLEWOOD DR UNIT 3004
LAWRENCEVILLE, GA 30046-6409
Phone number: 623-606-7532
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