Individual
CHARLES EDWARD BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.N.A
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
26450 MALLARD AVE, EUCLID, OH 44132-1416
(216) 801-2209
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
365756400791
OH
Other
Enumeration date
10/29/2014
Last updated
10/29/2014
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