Individual
ANDREA LAVON HENTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ODA
Contact information
Practice address
107 N MAPLE ST, PAYNE, OH 45880-9070
(419) 233-9027
(419) 233-9027
Mailing address
107 N MAPLE ST, PAYNE, OH 45880-9070
(419) 233-9027
(419) 233-9027
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/23/2025
Last updated
09/10/2025
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