Individual
CHRISTIANA CHARLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
54 OAK AVE, HEMPSTEAD, NY 11550-6806
(404) 942-9419
Mailing address
54 OAK AVE, HEMPSTEAD, NY 11550-6806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454325
NY
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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