Individual
CHARLENE FELICIA CHINCHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6289 MELSHORE DR, MENTOR, OH 44060-2341
(216) 406-1640
Mailing address
6289 MELSHORE DR, MENTOR, OH 44060-2341
(216) 406-1640
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN.135536-M-IV
OH
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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