Individual
LAWRENCE CHARELUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 N DALE MABRY HWY, TAMPA, FL 33614-3290
(813) 820-0337
Mailing address
10873 DRAGONWOOD DR, TAMPA, FL 33647-4044
(813) 850-4908
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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