Individual
LATREACE DANIELLE HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 LOUISIANA AVE, ELYRIA, OH 44035-3433
(216) 990-0955
Mailing address
432 LOUISIANA AVE, ELYRIA, OH 44035-3433
(216) 990-0955
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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