Individual
MRS. CHARITY JOYCE MARINELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6507 DYKE RD, CLAY, MI 48001-3602
(810) 512-4712
Mailing address
6507 DYKE RD, CLAY, MI 48001-3602
(810) 512-4712
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
204443-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02211118
—
NY
Enumeration date
12/18/2006
Last updated
04/08/2013
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