Individual
HEATHER LAVENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
613 ELM ST APT D4, RACINE, OH 45771-9049
(740) 416-5671
Mailing address
613 ELM ST APT C8, RACINE, OH 45771-9051
(740) 416-4293
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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