Provider Demographics
NPI:1801637681
Name:RICHARDS, SONYA K
Entity type:Individual
Prefix:
First Name:SONYA
Middle Name:K
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SONYA
Other - Middle Name:K
Other - Last Name:SVIRSKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 NORTH AVE APT 229B
Mailing Address - Street 2:
Mailing Address - City:TALLMADGE
Mailing Address - State:OH
Mailing Address - Zip Code:44278-1901
Mailing Address - Country:US
Mailing Address - Phone:814-659-4369
Mailing Address - Fax:
Practice Address - Street 1:120 NORTH AVE APT 229B
Practice Address - Street 2:
Practice Address - City:TALLMADGE
Practice Address - State:OH
Practice Address - Zip Code:44278-1901
Practice Address - Country:US
Practice Address - Phone:814-659-4369
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider