Individual
JUNIOR CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 UNION ST, STE 304, LYNN, MA 01901-4210
(978) 203-9191
(978) 203-9195
Mailing address
270 UNION ST STE 304, LYNN, MA 01901-1348
(978) 203-9191
(978) 203-9195
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
81-2998694
—
MA
Enumeration date
12/03/2016
Last updated
10/28/2023
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