Mr. Charles Perry Green
Mr. Charles Perry Green is a Community Health Worker in Kamiah, Idaho. Practices as a sole proprietor. Licensed in Idaho.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
3361 No Kid RdKamiah, ID 83536-5002
Phone: (208) 553-0284
Fax: (208) 935-2329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 003866467 (ID) |
|---|
Record details
| NPI number | 1811266927 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 19, 2011 |
| Last updated in NPPES | December 19, 2011 |
| Mailing address | 3361 No Kid Rd, Kamiah, ID 83536-5002 |