Individual
LATANYA EARNEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 INTERNATIONAL PKWY STE 2051, HEATHROW, FL 32746-5352
(800) 798-6035
Mailing address
749 CLINTON AVE, SIDNEY, OH 45365-2111
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
03714
OH
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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