EBONNIE CAMILLE WEST

SOUTHFIELD, MI
NPI1598809428
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NE  010702102)
Enumeration Date2007-02-16
Last Update Date2007-07-08
Business Address
Ms. EBONNIE CAMILLE WEST A.T.C
24901 NORTHWESTERN HWY
SOUTHFIELD, MI 48075-2203
Phone number: 248-358-3001
Mailing Address
Ms. EBONNIE CAMILLE WEST A.T.C
18400 LAUDER ST
DETROIT, MI 48235-2737
Phone number:
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