EBONY FAITH TASTE

MORAINE, OH
NPI1487151056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OH  161119)
Enumeration Date2018-04-10
Last Update Date2018-04-10
Business Address
EBONY FAITH TASTE
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
Mailing Address
EBONY FAITH TASTE
3095 KETTERING BLVD
MORAINE, OH 45439-1983
Phone number: 937-293-8300
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