Individual
OPHELIA CHARLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
506 JEFF KING ST, GALLUP, NM 87301-6935
(505) 728-0766
Mailing address
506 JEFF KING ST, GALLUP, NM 87301-6935
(505) 728-0766
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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