Individual
IESHEA SEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
456 SHASTA DR, TOLEDO, OH 43609
(419) 481-6118
Mailing address
456 SHASTA DR, TOLEDO, OH 43609-2077
(419) 481-6118
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
401047070210
OH
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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