Individual
MRS. CHARITA SHY-OJO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN-IV
Contact information
Practice address
3945 E 131ST ST, CLEVELAND, OH 44105-4760
(216) 858-9523
Mailing address
3945 E 131ST ST, CLEVELAND, OH 44105-4760
(216) 858-9523
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142079
OH
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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