Individual
CHALANDA J CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
755 OHLTOWN RD, AUSTINTOWN, OH 44515-1075
(330) 646-6187
Mailing address
7817 SUTTON PL NE, WARREN, OH 44484-1458
(330) 646-6187
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
501040041105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3092826
—
OH
Enumeration date
02/14/2019
Last updated
02/14/2019
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