Sheritha Bousso
NPI #1366801383 in Louisville, Kentucky
Provider Information
- NPI Number
- 1366801383
- Entity Type
- Individual
- Name
- Sheritha Bousso
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Contractor - Home Modifications
- Enumeration Date
- Feb 18, 2016
- Last Updated
- Feb 18, 2016
Practice Location
- Address
- 3220 COMMANDER DR
- Address 2
- #203
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40220-1776
- Phone
- (502) 281-2167
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor - Home Modifications — Home Modifications |
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