Individual
LERAE HECTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1641 POWERS ST, CINCINNATI, OH 45223-2657
(513) 266-1018
Mailing address
1641 POWERS ST, CINCINNATI, OH 45223-2657
(513) 266-1018
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400127810602
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0331598
—
OH
Enumeration date
04/30/2018
Last updated
03/25/2019
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