Individual
CHARLIE OFFERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
3521 WOODGLEN DR APT A, MODESTO, CA 95356-9298
(209) 545-5685
Mailing address
3521 WOODGLEN DR APT A, MODESTO, CA 95356-9298
(209) 545-5685
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA 1087
CA
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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