Individual
LAVADA S KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
344 GRACE ST, MANSFIELD, OH 44902-1173
(419) 612-1581
Mailing address
344 GRACE STREET, MANSFIELD, OH 44902-1571
(419) 612-1581
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
376K00000X
Nurse's Aide
401680850814
OH
Other
Enumeration date
01/19/2022
Last updated
10/31/2024
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