SearchOhio171WH0202X

Eleonora Tatashadze, PROVIDER

NPI 1639460371 · on the registry since 2011 · sole proprietor

Practice

Address
6613 Finegan Dr
Dayton, OH 45424
Phone
(860) 726-6200

Registry record

Primary taxonomy
171WH0202X
171WH0202X
Also registered as
171WH0202X
Licence states on file
CT, OH
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio