Provider Demographics
NPI:1063277812
Name:MANUELS-ONOJA, CHARITY O
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:O
Last Name:MANUELS-ONOJA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 42ND ST W APT 304
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:ND
Mailing Address - Zip Code:58801-7513
Mailing Address - Country:US
Mailing Address - Phone:346-304-9898
Mailing Address - Fax:
Practice Address - Street 1:1100 42ND ST W APT 304
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:ND
Practice Address - Zip Code:58801-7513
Practice Address - Country:US
Practice Address - Phone:346-304-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant