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NPI Code Detail

MEDICARE: SHAYLA MONAE STATEN

MEDICARE: SHAYLA MONAE STATEN
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
1372600000XAdult Companion

General Provider Information

NPI Number : 1033963376
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYLA MONAE STATEN
Provider Business Mailing Address
First Line : 4524 MERRYGOLD BLVD
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5037
Country : US
Telephone Number : 216-758-0614
Fax Number :
Provider Business Practice Location Address
First Line : 4524 MERRYGOLD BLVD
Second Line :
City : WARRENSVILLE HEIGHTS
State : OH
Zip : 44128-5037
Country : US
Telephone Number : 216-758-0614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/15/2024
Last Update Date : 04/15/2024

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Directions to “ SHAYLA MONAE STATEN ” Practice Location

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