Individual
STEPHANIE CHARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9220 MENTOR AVE, MENTOR, OH 44060-6412
(440) 639-3518
Mailing address
9220 MENTOR AVE, MENTOR, OH 44060-6412
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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