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Ebony Davis
NPI 1356078729 · on the registry since 2022
Practice
- Address
- 5437 Fallwood Dr Apt 115
Indianapolis, IN 46220 - Phone
- (790) 431-7480
- Organisation at this address
- Fruitofthespiritllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-04
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