JUANITA CHARLESTON

Contractor

Active Individual
NPI: 1134745995

Practice Address

15941 FAIRFIELD ST
Detroit, MI 48238

Phone: (313) 855-6035

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1134745995 is the National Provider Identifier for JUANITA CHARLESTON, a Contractor provider located in Detroit, MI. This NPI was enumerated on June 17, 2020.
JUANITA CHARLESTON practices at 15941 FAIRFIELD ST, Detroit, MI 48238.

Quick Facts

NPI
1134745995
Type
Individual
Enumerated
Jun 17, 2020
Last Updated
Jun 17, 2020

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