Charles Elliott

NPI #1003476854 in Laramie, Wyoming

Provider Information

NPI Number: 1003476854
Entity Type: Individual
Name: Charles Elliott
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Community Health Worker
Enumeration Date: Jun 14, 2019
Last Updated: Jun 14, 2019

Practice Location

Address: 4989 N 3RD ST
City: Laramie
State: Wyoming
ZIP Code: 82072-9548
Phone: (307) 745-8997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X	Primary

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