MEDICARE: SIDONNA TURNER

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
1	376J00000X	Homemaker	1830120	OH

General Provider Information

NPI Number	:	1457135956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIDONNA TURNER

Provider Business Mailing Address
First Line	:	20417 KINGS HWY
Second Line	:
City	:	WARRENSVILLE HEIGHTS
State	:	OH
Zip	:	44122-6321
Country	:	US
Telephone Number	:	216-543-2794
Fax Number	:

Provider Business Practice Location Address
First Line	:	25400 ROCKSIDE RD APT 610A
Second Line	:
City	:	BEDFORD HEIGHTS
State	:	OH
Zip	:	44146-1992
Country	:	US
Telephone Number	:	216-543-2797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2023
Last Update Date	:	08/24/2023

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Directions to “ SIDONNA TURNER ” Practice Location

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