Individual
CHERIKA SHANTELL BODRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5941 PROVIDENCE RD, APT 4, CHARLOTTE, NC 28226-6708
(704) 905-3346
Mailing address
927 GLENFIDDICH DR, CHARLOTTE, NC 28215-2058
(704) 905-3346
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
10/27/2010
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