Individual
CHARLENA M THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1566 E 82ND ST, CLEVELAND, OH 44103-3468
(216) 965-6616
Mailing address
1566 E 82ND ST, CLEVELAND, OH 44103-3468
(216) 965-6616
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/04/2021
Last updated
06/04/2021
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