Individual
LATASHA STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5400 RUDDY CT APT 2, CINCINNATI, OH 45239-7297
(513) 628-5551
Mailing address
5400 RUDDY CT APT 2, CINCINNATI, OH 45239-7297
(513) 628-5551
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400877780309
OH
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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