EBONY SKYE FENN

PORTLAND, OR
NPI1932977964
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201394683LPN)
Enumeration Date2023-12-19
Last Update Date2023-12-19
Business Address
EBONY SKYE FENN LPN
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
EBONY SKYE FENN LPN
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: