Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ebony Shardae Helaire

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932736774

Ebony Shardae Helaire is a Student in an Organized Health Care Education/Training Program in Vallejo, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
Specialties on file
2

Practice location Address checks out

415 Georgia St
Vallejo, CA 94590-6004
Phone: (707) 558-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 106815 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932736774
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 23, 2020
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021

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