Individual
MRS. MARSHALA M CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1519 E 98TH ST, BROOKLYN, NY 11236-5321
(917) 335-5369
(347) 405-5796
Mailing address
1519 E 98TH ST, BROOKLYN, NY 11236-5321
(917) 335-5369
(347) 405-5796
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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