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NPI Code Detail

MEDICARE: KENISHA Q GUGLIARDO

MEDICARE:   KENISHA Q GUGLIARDO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1053817270
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENISHA Q GUGLIARDO
Provider Business Mailing Address
First Line : 11645 CHEYENNE TRL APT 104
Second Line :
City : PARMA
State : OH
Zip : 44130-1985
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13525 SHERRY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44135-2152
Country : US
Telephone Number : 440-723-9050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2018
Last Update Date : 04/05/2018

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Directions to “ KENISHA Q GUGLIARDO ” Practice Location

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