Individual
MRS. LYNETTA TIAONA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLE PROPRIETOR
Contact information
Practice address
2101 N BERKELEY BLVD, GOLDSBORO, NC 27534-8238
(919) 988-2030
Mailing address
2101 N BERKELEY BLVD, GOLDSBORO, NC 27534-8238
(919) 988-2030
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
NC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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