Individual
SHEKODA M PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
26217 CAMBRIDGE LN, APT 301, WARRENSVILLE HEIGHTS, OH 44128-6106
(567) 219-9803
Mailing address
26217 CAMBRIDGE LN, APT 301, WARRENSVILLE HEIGHTS, OH 44128-6106
(567) 219-9803
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
401750070515
OH
Other
Enumeration date
10/04/2015
Last updated
10/05/2015
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