Individual
EDDIE JOSEE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4055 VALLEY VIEW LN STE 400, DALLAS, TX 75244-5071
(972) 715-3800
Mailing address
19 MINER ST, NORTH PROVIDENCE, RI 02904-3258
(239) 384-1793
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN02210
RI
Other
Enumeration date
12/14/2019
Last updated
12/14/2019
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