Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SARETTA LANIECE GORDON-EDENBURGH
Active Sole ProprietorSARETTA LANIECE GORDON-EDENBURGH is a Contractor healthcare provider located in SOUTH EUCLID, Ohio. NPI 1619712825 is currently active in the NPPES registry. Verify at CMS.
Contractor · SOUTH EUCLID, OH
Registration Details
- NPI Number
- 1619712825
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 28, 2024 (2.1379200885099 yrs)
- Last Updated
- Jun 28, 2024
- License
-
SM696161 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1405 VILLA DRSOUTH EUCLID, OH, 441212903Browse OH providers · Browse ZIP 44121
- Phone
- 2167160242
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in SOUTH EUCLID, OH
| Name | Credential | NPI |
|---|---|---|
| KYDAYJA BERRY | — | 1023893492 |
| RONNIE WOODS | — | 1356126817 |
| DANIEL CALLOWAY | — | 1235985409 |
| CARMEN BOWERS TEAGUE | — | 1639990146 |
| MARCUS JAMES HENDERSON I | — | 1033902820 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.