Individual
CHARLISA ROCHELLE LATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11807 HAMLEN AVE, CLEVELAND, OH 44120-1123
(216) 438-1823
Mailing address
11807 HAMLEN AVE, CLEVELAND, OH 44120-1123
(216) 438-1823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
442952
OH
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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