Individual
LATASHA ANN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA, MA
Contact information
Practice address
3245 BEAUMONT DR, TOLEDO, OH 43608-2201
(419) 727-0964
Mailing address
3245 BEAUMONT DR, TOLEDO, OH 43608-2201
(419) 727-0964
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501064470106
OH
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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