Individual
CHARLENE CHAMBERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
36 MARIO DR, TROTWOOD, OH 45426-2915
(937) 389-0196
Mailing address
36 MARIO DR, TROTWOOD, OH 45426-2915
(937) 389-0196
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2660964
—
OH
Enumeration date
06/04/2008
Last updated
06/04/2008
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