Individual
CHARLES WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2822 S. MORELAND BLVD, APT 2, CLEVELAND, OH 44120
(216) 820-3529
Mailing address
2822 S. MORELAND BLVD, APT 2, CLEVELAND, OH 44120
(216) 820-3529
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
400946390709
OH
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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