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Charlene Charthern, COSMOTOLOGIST
Prosthetic/Orthotic Supplier in Tarzana, California
NPI 1619448099

Charlene Charthern is a Prosthetic/Orthotic Supplier based in Tarzana, CA. Charlene Charthern practices in Tarzana, CA and has the professional credentials of COSMOTOLOGIST. The NPI Number for Charlene Charthern is 1619448099 and holds a License No. (California).

The current practice location address for Charlene Charthern is 19529 Ventura Blvd, Tarzana, CA and can be reached out via phone at 818-430-5078 and via fax at 818-757-1216.

Location: 19529 Ventura Blvd, Tarzana, CA, 91356-2957
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619448099
Provider Name
Charlene Charthern
Credential
COSMOTOLOGIST
Provider Entity Type
Individual
Gender
Female
Address
19529 Ventura Blvd, Tarzana, CA, 91356-2957
Phone Number
818-430-5078
Fax Number
818-757-1216
Provider Enumeration Date
12/11/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19529 Ventura Blvd
City
Tarzana
State
California
Zip
91356-2957
Phone Number
818-430-5078
Fax Number
818-757-1216
person
Provider Business Mailing Address Details
Address
19529 Ventura Blvd
City
Tarzana
State
California
Zip
91356-2957
Phone Number
818-430-5078
Fax Number
818-757-1216
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
(California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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