CHARLENE K PORTER

CLEVELAND, OH
NPI1962467589
Former NameCHARLENE KEANE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367H00000X Anesthesiologist Assistant
(Licence: OH  67.000039)
Enumeration Date2006-04-18
Last Update Date2007-07-08
Business Address
-- CHARLENE K PORTER AA-C
9500 EUCLID AVE
CLEVELAND, OH 44195-0001
Phone number: 216-444-4633
Mailing Address
-- CHARLENE K PORTER AA-C
19418 SARATOGA TRL
STRONGSVILLE, OH 44136-7273
Phone number: 440-238-0593