Individual
CHARLES JERMAINE HARGROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
882 DRESSAGE TRCE, BLACKLICK, OH 43004-9163
(614) 595-9673
Mailing address
882 DRESSAGE TRCE, BLACKLICK, OH 43004-9163
(614) 595-9673
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
RR887369
OH
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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