Individual
CHARLES EDWARD CHANEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17220 OLYMPIA RD, CLEVELAND, OH 44112-1423
(216) 903-0128
Mailing address
340 ROYAL OAK BLVD, RICHMOND HTS, OH 44143-1710
(216) 903-0128
Taxonomy
Speciality
Code
Description
License number
State
347B00000X
Bus
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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