Individual provider · NPI-1

Eboni Shae Harris

Technician/Technologist · Dayton, OH

NPI number1275433906
StatusActive
Last updated in NPPESNov 6, 2026

Details

NPI
1275433906
Entity type
Individual (NPI-1)
Name
Eboni Shae Harris
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 6, 2026
Certification date
Nov 6, 2026
Last updated
Nov 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156F00000X Technician/Technologist–OHYes

Practice location

6246 Pheasant Hill Rd
Dayton, OH 45424-4185

Phone 937-270-2854

Mailing address

6246 Pheasant Hill Rd
Dayton, OH 45424-4185

Phone 937-270-2854

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