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NPI Code Detail

MEDICARE: CHARVETE JERELS

MEDICARE: CHARVETE JERELS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1477907806
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARVETE JERELS
Provider Business Mailing Address
First Line : 838 COBURN ST
Second Line :
City : AKRON
State : OH
Zip : 44311-1459
Country : US
Telephone Number : 330-812-3109
Fax Number :
Provider Business Practice Location Address
First Line : 838 COBURN ST
Second Line :
City : AKRON
State : OH
Zip : 44311-1459
Country : US
Telephone Number : 330-812-3109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 04/22/2016

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Directions to “ CHARVETE JERELS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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