Individual
CLARA BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1302 LAIDLAW AVE, CINCINNATI, OH 45237-5204
(513) 306-6033
Mailing address
1302 LAIDLAW AVE, CINCINNATI, OH 45237-5204
(513) 306-6033
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0212427
—
OH
Enumeration date
05/12/2018
Last updated
06/16/2018
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