Charity E Green, IDMT

NPI #1962638759 in Wright Patterson Afb, Ohio

Provider Information

NPI Number
1962638759
Entity Type
Individual
Name
Charity E Green, IDMT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Military Health Care Provider - Independent Duty Medical Technicians
Credential
IDMT
Enumeration Date
Jun 8, 2009
Last Updated
Jun 8, 2009

Practice Location

Address
4881 SUGAR MAPLE DR
State
Ohio
ZIP Code
45433-5546
Phone
(937) 257-0770

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty Medical TechniciansIndependent Duty Medical Technicians

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