EBONY LATREASE MINOR

DAYTON, OH
NPI1467196626
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy251E00000X Home Health
Additional Taxonomies374U00000X Home Health Aide
Enumeration Date2022-04-25
Last Update Date2022-04-25
Business Address
EBONY LATREASE MINOR
101 BLAIRWOOD DR
DAYTON, OH 45426-2813
Phone number: 937-520-3335
Mailing Address
EBONY LATREASE MINOR
101 BLAIRWOOD DR
DAYTON, OH 45426-2813
Phone number: 937-520-3335