Individual
CHEREASE SHANTA EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 LANTERN LN E, MOBILE, AL 36693-3664
(251) 680-0052
Mailing address
104 S SAGE AVE, MOBILE, AL 36606-4137
(251) 272-2277
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
AL
376J00000X
Homemaker
—
AL
376K00000X
Nurse's Aide
—
AL
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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