Individual
BETTY LATASHA WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 GROESBECK RD APT 3, CINCINNATI, OH 45224-2762
(513) 601-7155
Mailing address
1040 GROESBECK RD APT 3, CINCINNATI, OH 45224-2762
(513) 601-7155
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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