Provider Demographics
NPI:1023288008
Name:CADET-PATTERSON, MISSOLE
Entity type:Individual
Prefix:MRS
First Name:MISSOLE
Middle Name:
Last Name:CADET-PATTERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1502 TABOR AVE
Mailing Address - Street 2:
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45420-2137
Mailing Address - Country:US
Mailing Address - Phone:937-307-9098
Mailing Address - Fax:
Practice Address - Street 1:1502 TABOR AVE
Practice Address - Street 2:
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45420-2137
Practice Address - Country:US
Practice Address - Phone:937-307-9098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program