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Individual

MRS. DAMEISHA LA'TREASE FOREMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
305 OAK RED CT, HOLLAND, OH 43528-9074
(419) 708-0879
Mailing address
305 OAK RED CT, HOLLAND, OH 43528-9074
(419) 708-0879

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
OH
253Z00000X
In Home Supportive Care Agency
Primary
OH

Other

Enumeration date
04/28/2025
Last updated
04/28/2025
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