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Individual

CHARLES MARSHALL V

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
REGISTERED NURSE

Contact information

Practice address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3554
Mailing address
424 SAVANNAH RD, LEWES, DE 19958-1462
(302) 645-3554

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
L1-0038134
DE

Other

Enumeration date
01/31/2015
Last updated
01/31/2015
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