Starqueatia Larhonda Charles
Home Health Aide in Warren, MI. Individual provider (NPI-1).
NPI number1700472925
StatusActive
Last updated in NPPESDec 13, 2020
Details
- NPI
- 1700472925
- Entity type
- Individual (NPI-1)
- Name
- Starqueatia Larhonda Charles
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2020
- Certification date
- Dec 13, 2020
- Last updated
- Dec 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
21435 Blackmar AveWarren, MI 48091-2806
Phone 586-871-8407
Mailing address
21435 Blackmar AveWarren, MI 48091-2806
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