Individual
CHARLETTA NICOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3328 N BEND RD, CINCINNATI, OH 45239-7613
(513) 835-3683
Mailing address
3328 N BEND RD, CINCINNATI, OH 45239-7613
(513) 835-3683
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
143976
OH
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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