Provider Demographics
NPI:1184488025
Name:EBA BROU, FLORE AYA
Entity type:Individual
Prefix:
First Name:FLORE
Middle Name:AYA
Last Name:EBA BROU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4959 ALVERNOVALLEY CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-6003
Mailing Address - Country:US
Mailing Address - Phone:917-685-0781
Mailing Address - Fax:
Practice Address - Street 1:4959 ALVERNOVALLEY CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-6003
Practice Address - Country:US
Practice Address - Phone:917-685-0781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker