Individual
LACEY NICOLE HAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
86 ALPINE DR, SWANTON, OH 43558-1508
(419) 261-0636
Mailing address
86 ALPINE DR, SWANTON, OH 43558-1508
(419) 261-0636
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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