Individual
LATASHA HANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
229 WALKER ST, BELLEFONTAINE, OH 43311-1329
(937) 210-5140
Mailing address
229 WALKER ST, BELLEFONTAINE, OH 43311-1329
(937) 210-5140
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400537420906
OH
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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