Individual
CHARITA LEEANNE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
STNA
Contact information
Practice address
1100 THORNWOOD DR, LOT 78, HEATH, OH 43056-9500
(740) 281-0028
(740) 281-0028
Mailing address
1100 THORNWOOD DR, LOT 78, HEATH, OH 43056-9500
(740) 281-0028
(740) 281-0028
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
374494460195
OH
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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