Individual
HEAVEN RATLEFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11601 4TH ST N APT 1605, SAINT PETERSBURG, FL 33716-2742
(330) 274-7550
Mailing address
11601 4TH ST N APT 1605, SAINT PETERSBURG, FL 33716-2742
(330) 274-7550
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN159808
OH
164W00000X
Licensed Practical Nurse
Primary
PN5235893
FL
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
09/28/2015
Last updated
11/15/2018
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