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MS. EBONI SHAVON EVERAGE CERTIFIED HAIRLOSS S

Other Service Providers Specialist Prosthetics Case Management

Provider NPI: 1891266243

Provider Information:
MS. EBONI SHAVON EVERAGE CERTIFIED HAIRLOSS S
Gender: F
Sole Proprietor

Practice Location:
3501 BURNET AVE  CINCINNATI, OH 45229-2878 US
Tel: 513-917-2188  Fax: --

Business Mailing Address:
3501 BURNET AVE  CINCINNATI, OH 45229-2878 US
Tel: 513-917-2188  Fax: --

NPI Information:
NPI: 1891266243
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1744P3200XOther Service Providers
Specialist
Prosthetics Case Management
OH001141

Other Provider Identifiers:

IssuerNumberStateType
CRRTIFIED HAIR LOSS SPECIALIST001141OH01



American Medical Association 2012 taxonomy code information

Code: 1744P3200X

Type:

Classification:



Definition:



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