Provider Demographics
NPI:1427544253
Name:OKORO, CHARITY
Entity type:Individual
Prefix:
First Name:CHARITY
Middle Name:
Last Name:OKORO
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 1:6544 E UNIVERSITY DR APT 20
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-7630
Mailing Address - Country:US
Mailing Address - Phone:480-625-7988
Mailing Address - Fax:
Practice Address - Street 1:6544 E UNIVERSITY DR APT 20
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-7630
Practice Address - Country:US
Practice Address - Phone:480-625-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-05
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker