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Eleonora Tatashadze, PROVIDER
Home Modifications Contractor in Dayton, Ohio
NPI 1639460371

Eleonora Tatashadze is a Home Modifications Contractor based in Dayton, OH and is specialized in Home Modifications. Eleonora Tatashadze practices in Dayton, OH and has the professional credentials of PROVIDER. The NPI Number for Eleonora Tatashadze is 1639460371 and holds a License No. 0000493 (Ohio).

The current practice location address for Eleonora Tatashadze is 6613 Finegan Dr, Dayton, OH and can be reached out via phone at 860-726-6200.

Location: 6613 Finegan Dr, Dayton, OH, 45424-7112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639460371
Provider Name
Eleonora Tatashadze
Credential
PROVIDER
Provider Entity Type
Individual
Gender
Female
Address
6613 Finegan Dr, Dayton, OH, 45424-7112
Phone Number
860-726-6200
Fax Number
Provider Enumeration Date
04/28/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4203630 01 OH STATE OF OHIO CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
6613 Finegan Dr
City
Dayton
State
Ohio
Zip
45424-7112
Phone Number
860-726-6200
Fax Number
person
Provider Business Mailing Address Details
Address
6613 Finegan Dr
City
Dayton
State
Ohio
Zip
45424-7112
Phone Number
860-726-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
0000493 (Connecticut)
Definition
Definition to come...
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