Individual
CHARLES MICHAEL BLOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1044 SAGRAMORE DR S, STREETSBORO, OH 44241-4625
(330) 842-1917
Mailing address
1440 RUSSELL DR, STREETSBORO, OH 44241-8330
(234) 284-5561
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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