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Individual

HEATHER CHEYENNE HASKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PERSONAL CARE ATTEND

Contact information

Practice address
614 CAMPBELL AVE, PORTSMOUTH, OH 45662-4469
(740) 981-7671
Mailing address
4213 SPRUCE ST, NEW BOSTON, OH 45662-5120

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
OH
374U00000X
Home Health Aide
401297860911
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0231760
OH
Enumeration date
11/01/2017
Last updated
01/02/2025
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