Individual
LATASHA CLIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 JACK ROUSH WAY, MANCHESTER, OH 45144-1419
(937) 301-1828
Mailing address
26 JACK ROUSH WAY, MANCHESTER, OH 45144-1419
(937) 301-1828
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
OH
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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