Individual
SELITHA SOBOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
845 W BAGLEY RD, BEREA, OH 44017-2903
(440) 588-8070
Mailing address
845 W BAGLEY RD, BEREA, OH 44017-2903
(440) 588-8070
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN.429687
OH
163WC1500X
Community Health Registered Nurse
Primary
RN.429687
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN.429687
OH
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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