Kethlie Fabien Charles
Kethlie Fabien Charles is a Developmental Disabilities Clinic/Center in Greenacres, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
5700 Lake Worth Rd Ste 106Greenacres, FL 33463-3213
Phone: (561) 439-3991
Fax: (561) 439-3993
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Specialties & licences
| Developmental Disabilities Clinic/Center (primary) | Taxonomy 261QD1600X |
|---|
Record details
| NPI number | 1265018865 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 23, 2021 |
| Last updated in NPPES | March 23, 2021 |
| Certification date | March 23, 2021 |
| Mailing address | 5700 Lake Worth Rd Ste 106, Greenacres, FL 33463-3213 |
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