Individual
CARLISE YVETTE CHARLOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMETOLOGY
Contact information
Practice address
1289 WINDY WILLOWS DR, JACKSONVILLE, FL 32225-5957
(904) 716-9432
Mailing address
1289 WINDY WILLOWS DR, JACKSONVILLE, FL 32225-5957
(904) 716-9432
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
CL0219744
FL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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