Provider Demographics
NPI:1972219780
Name:WRIGHT-FREEMAN, LATEESHA
Entity type:Individual
Prefix:
First Name:LATEESHA
Middle Name:
Last Name:WRIGHT-FREEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 GLENWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45217-2112
Mailing Address - Country:US
Mailing Address - Phone:513-601-2742
Mailing Address - Fax:
Practice Address - Street 1:208 GLENWOOD AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45217-2112
Practice Address - Country:US
Practice Address - Phone:513-601-2742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver
No174400000XOther Service ProvidersSpecialist
No372600000XNursing Service Related ProvidersAdult Companion