Individual
FANISHA LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4760 DORR ST APT 41, TOLEDO, OH 43615-4048
(229) 310-9831
Mailing address
4760 DORR ST APT 41, TOLEDO, OH 43615-4048
(229) 310-9831
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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