SearchIndianaProsthetic/Orthotic Supplier

Ebony Jacks

NPI 1104574896 · on the registry since 2022 · sole proprietor

Practice

Address
1011 N Arlington Ave
Indianapolis, IN 46219
Phone
(260) 508-6752

Registry record

Primary taxonomy
Prosthetic/Orthotic Supplier
335E00000X
Sex
Female
Record last updated
2022-06-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana