ELEONORA TATASHADZE

DAYTON, OH
NPI1639460371
Other NameELEONORA TATASHADZE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171WH0202X Contractor, Home Modifications
(Licence: OH  4203630)
Additional Taxonomies171WH0202X Contractor, Home Modifications
(Licence: CT  0000493)
Enumeration Date2011-04-28
Last Update Date2020-12-24
Business Address
ELEONORA TATASHADZE PROVIDER
6613 FINEGAN DR
DAYTON, OH 45424-7112
Phone number: 860-726-6200
Mailing Address
ELEONORA TATASHADZE PROVIDER
6613 FINEGAN DR
DAYTON, OH 45424-7112
Phone number: 860-726-6200