Individual
TAKEISHA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
173 CORONADO DR APT F, PATASKALA, OH 43062-9098
(614) 816-3035
Mailing address
173 CORONADO DR APT F, PATASKALA, OH 43062-9098
(614) 816-3035
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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