Most Relevant Information
Provider Data
| NPI Number: | 1003684713 |
| Provider Name: | LAVONNA HAIGHT STNA |
| Entity Type: | Individual |
| Taxonomy Code: | 376J00000X |
| Specialty: | Homemaker |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/13/2023 |
| Last Updated: | 12/13/2023 |
Provider Practice Location
229 GILEAD ST LOT 10
CARDINGTON
OH
433159574
Practice Location Phone/Fax
| Phone: | 6143129469 |
| Fax: |
Provider Mailing Location
229 GILEAD ST LOT 10
CARDINGTON
OH
433159574
Provider Mailing Phone/Fax
| Phone: | 6143129469 |
| Fax: |