Individual
CHARLENE CHARTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COSMOTOLOGIST
Contact information
Practice address
19529 VENTURA BLVD, TARZANA, CA 91356-2957
(818) 430-5078
(818) 757-1216
Mailing address
19529 VENTURA BLVD, TARZANA, CA 91356-2957
(818) 430-5078
(818) 757-1216
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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