EBONY BLAIZE

CHAPEL HILL, NC
NPI1902652324
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  BLAI-NMH93T)
Enumeration Date2024-04-26
Last Update Date2024-04-26
Business Address
EBONY BLAIZE MD
6013 FARRINGTON RD STE 301
CHAPEL HILL, NC 27517-8173
Phone number: 984-974-6669
Mailing Address
EBONY BLAIZE MD
PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593
CHAPEL HILL, NC 27599-7593
Phone number:
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