Individual
HADIJAT SHADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5866 ALBANY TRCE, WESTERVILLE, OH 43081-8890
(614) 929-0657
Mailing address
5866 ALBANY TRCE, WESTERVILLE, OH 43081-8890
(614) 929-0657
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0094992
—
OH
Enumeration date
07/09/2014
Last updated
07/09/2014
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