Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juanita Charleston

Individual provider Contractor · NPI 1134745995

Juanita Charleston is a Contractor in Detroit, Michigan. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

15941 Fairfield St
Detroit, MI 48238-4123
Phone: (313) 855-6035
Fax: (313) 345-4592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X

Record details

NPI number1134745995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 17, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020

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