Individual
ELISSA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2101 ALABAMA ST, BAYTOWN, TX 77520-6113
(832) 262-6311
Mailing address
2101 ALABAMA ST, BAYTOWN, TX 77520-6113
(832) 262-6311
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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