Individual
MISS CHARITY MICHELLE DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3941 E. ANTISDALE AVE, SOUTH EUCLID, OH 44118
(216) 324-1455
Mailing address
P.O. BOX 18273, CLEVELAND HEIGHTS, OH 44118
(216) 324-1455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 139257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082211
—
OH
Enumeration date
05/13/2011
Last updated
05/13/2011
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