NPI 1235784950

Ebony Akima Payne

Practitioner Driver Harrisburg, PA

Practice location

Address: 1637 Park St, Harrisburg, PA 17103-2337
Phone: (718) 695-2394

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 29117686 (PA)

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Registry record

NPI: 1235784950
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Aug 2019
Record last updated: 8 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.