CLARISSA CHARLES

HIGHLAND, IN
NPI1730704750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224P00000X Prosthetist
(Licence: GA  BR020426)
Enumeration Date2020-06-16
Last Update Date2020-10-05
Business Address
CLARISSA CHARLES
2715 MAIN ST STE D
HIGHLAND, IN 46322-3637
Phone number: 708-341-4457
Mailing Address
CLARISSA CHARLES
PO BOX 1905
HIGHLAND, IN 46322
Phone number: 708-341-4457