ELEONORA TATASHADZE, PROVIDER

Contractor - Home Modifications

Active Individual
NPI: 1639460371

Practice Address

6613 FINEGAN DR
Dayton, OH 45424

Phone: (860) 726-6200

Specialties

Specialty Code Primary License
Contractor - Home Modifications 171WH0202X Yes 4203630 (OH)

Frequently Asked Questions

NPI 1639460371 is the National Provider Identifier for ELEONORA TATASHADZE, PROVIDER, a Contractor - Home Modifications provider located in Dayton, OH. This NPI was enumerated on April 28, 2011.
ELEONORA TATASHADZE, PROVIDER practices at 6613 FINEGAN DR, Dayton, OH 45424.

Quick Facts

NPI
1639460371
Type
Individual
Enumerated
Apr 28, 2011
Last Updated
Dec 24, 2020