MR. CHARLES PERRY GREEN
Medical Practice at No Kid Rd, Kamiah, ID

License number
Idaho 003866467
Category
Medical Practice
Type
Community Health Worker
Address
Address
3361 No Kid Rd, Kamiah, ID 83536
Phone
(208) 553-0284
(208) 935-2329 (Fax)
National Provider ID: 1811266927
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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