Individual
MR. CHARLES ALLEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4421 GRANADA BLVD, APT 533, WARRENSVILLE HEIGHTS, OH 44128-4823
(216) 200-0500
Mailing address
4421 GRANADA BLVD, APT 533, WARRENSVILLE HEIGHTS, OH 44128-4823
(216) 200-0500
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
152530
OH
Other
Enumeration date
05/06/2015
Last updated
05/06/2015
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