Individual
MISS CHARLOTTE ELAINE DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14905 KINGSFORD AVENUE, CLEVELAND, OH 44128
(216) 295-5438
Mailing address
14905 KINGSFORD AVENUE, CLEVELAND, OH 44128
(216) 295-5438
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
11/15/2012
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