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NPI Code Detail

MEDICARE: JOYCE MARIE REDMOND STNA

MEDICARE:   JOYCE MARIE REDMOND  STNA
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
1376K00000XNurse's Aide401863370516OH

General Provider Information

NPI Number : 1205384971
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOYCE MARIE REDMOND STNA
Provider Business Mailing Address
First Line : 5201 E 113TH ST
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-2736
Country : US
Telephone Number : 216-816-4963
Fax Number :
Provider Business Practice Location Address
First Line : 5201 E 113TH ST
Second Line :
City : GARFIELD HEIGHTS
State : OH
Zip : 44125-2736
Country : US
Telephone Number : 216-816-4963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2016
Last Update Date : 09/12/2016

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Directions to “ JOYCE MARIE REDMOND STNA” Practice Location

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