| Ebony Faith Taste, | |
|
3095 Kettering Blvd, Moraine, OH 45439-1983 | |
| (937) 293-8300 | |
| Not Available |
| Full Name | Ebony Faith Taste |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 3095 Kettering Blvd, Moraine, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487151056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 161119 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ebony Faith Taste, 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 | Ebony Faith Taste, 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 293-8300 |
Miss Kunita Eileen Davis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Mr. Robert James Turner, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-496-5274 | |
Mrs. Dana Stubbs, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-298-8300 Fax: 937-534-1579 | |
Kelly Hughes, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Valerie Lynn Moore, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-496-5274 | |
Daniel A Schindler, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 | |
Ashley Marie Cox, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-496-5274 |