Individual
SHATARA ROSHAY MADOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
918 CARLISLE CT APT 303, KENT, OH 44240-1750
(216) 640-6893
Mailing address
918 CARLISLE CT APT 303, KENT, OH 44240-1750
(216) 640-6893
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
40222428119
OH
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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