Ebony Faith Taste

NPI #1487151056 in Moraine, Ohio

Provider Information

NPI Number
1487151056
Entity Type
Individual
Name
Ebony Faith Taste
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 10, 2018
Last Updated
Apr 10, 2018

Practice Location

Address
3095 KETTERING BLVD
State
Ohio
ZIP Code
45439-1983
Phone
(937) 293-8300

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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