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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EBONY FAITH TASTE

Active

EBONY FAITH TASTE is a Licensed Practical Nurse healthcare provider located in MORAINE, Ohio. NPI 1487151056 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · MORAINE, OH

Registration Details

NPI Number
1487151056
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2018 (8.3320471930625 yrs)
Last Updated
Apr 10, 2018
License
161119 (OH)

Practice Information

Address
3095 KETTERING BLVD
MORAINE, OH, 454391983
Browse OH providers · Browse ZIP 45439
Phone
9372938300
Primary Specialty
Licensed Practical Nurse
164W00000X

Other Licensed Practical Nurse Providers in MORAINE, OH

Name Credential NPI
JASON DOUGLAS SPIERS LPN 1306166194
MRS. ALONA ANN CLARK LPN 1659642593
MR. PHILLIP DOUGLAS HOSKINS LPN 1497190748
MELISSA KLIMA 1346654472
JONATHON BOEHRINGER LPN 1578922837
MRS. DANA STUBBS LPN 1225497548
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.