Ebony Chisolm Valid NPI

Individual provider · Other Technician · Jackson, MI

NPI

1487301446

Type

Individual (Type 1)

Primary specialty

Other Technician (Technician, Other)

Specialty group

Technologists, Technicians & Other Technical Service Providers

Taxonomy code

247200000X

Sex

Female

Sole proprietor

Yes

Enumerated

2022-03-09

Last updated

2022-03-09