Individual
MRS. CHARLENE K SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14191 STATE ROUTE 772, CHILLICOTHE, OH 45601-9101
(740) 774-1323
Mailing address
3840 STATE ROUTE 772, CHILLICOTHE, OH 45601-8964
(740) 663-5066
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2620033
OH
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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