NPI 1366801383

Sheritha Bousso

Practitioner Home Modifications Contractor Louisville, KY

Practice location

Address: 3220 Commander Dr #203, Louisville, KY 40220-1776
Phone: (502) 281-2167

Registered specialties

Home Modifications Contractor Primary

Other Service Providers Taxonomy 171WH0202X

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Registry record

NPI: 1366801383
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Feb 2016
Record last updated: 18 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.