Individual
CHARLOTTE M COLVIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
143 S WHEATLAND AVE, COLUMBUS, OH 43204-3268
(614) 260-4126
Mailing address
143 S WHEATLAND AVE, COLUMBUS, OH 43204-3268
(614) 260-4126
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2080386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2080386
—
OH
Enumeration date
03/15/2006
Last updated
07/08/2007
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