Individual
LATASHA ANN HEISEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8285 FIRSHADE TER, CINCINNATI, OH 45239-3814
(513) 969-1928
Mailing address
PO BOX 6010, CINCINNATI, OH 45206-0010
(513) 969-1928
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010174
—
OH
Enumeration date
10/25/2017
Last updated
06/16/2018
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