Latara Marie Charleston, 171M00000X

NPI #1205672870 in Euclid, Ohio

Provider Information

NPI Number
1205672870
Entity Type
Individual
Name
Latara Marie Charleston, 171M00000X
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Case Manager/Care Coordinator
Credential
171M00000X
Enumeration Date
Jul 3, 2024
Last Updated
Jul 3, 2024

Practice Location

Address
25701 N LAKELAND BLVD STE 25701N
City
Euclid
State
Ohio
ZIP Code
44132-2450
Phone
(215) 273-7000

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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