COCOANISHA SHEANTA MATLOCK

WARREN, OH
NPI1598153819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy376K00000X Nurse's Aide
(Licence: OH  501134600606)
Enumeration Date2015-01-09
Last Update Date2015-01-09
Business Address
-- COCOANISHA SHEANTA MATLOCK
3100 STARLITE DR NW
WARREN, OH 44485-1618
Phone number: 216-371-9858
Mailing Address
-- COCOANISHA SHEANTA MATLOCK
3100 STARLITE DR NW
WARREN, OH 44485-1618
Phone number: 216-371-9858