Individual
COCOANISHA SHEANTA MATLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3100 STARLITE DR NW, WARREN, OH 44485-1618
(216) 371-9858
Mailing address
3100 STARLITE DR NW, WARREN, OH 44485-1618
(216) 371-9858
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501134600606
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3146170
—
OH
Enumeration date
01/09/2015
Last updated
01/09/2015
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