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Juanita Charleston
NPI 1134745995 · on the registry since 2020
Practice
- Address
- 15941 Fairfield St
Detroit, MI 48238 - Phone
- (313) 855-6035
- Fax
- (313) 345-4592
- Organisation at this address
- Lakeridge Village, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 24
Registry record
- Primary taxonomy
- Contractor
171W00000X
- Sex
- Female
- Record last updated
- 2020-06-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan