Tasha Douglass

NPI #1164845855 in Fairfield, Ohio

Provider Information

NPI Number: 1164845855
Entity Type: Individual
Name: Tasha Douglass
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Jan 30, 2014
Last Updated: Jan 30, 2014

Practice Location

Address: 25 HEFFRON DR APT 9
City: Fairfield
State: Ohio
ZIP Code: 45014-7720
Phone: (513) 805-6564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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