Individual
MISS BRIANNA CHRYSTINE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 AGATE MEADOWS CT, WHITE CITY, OR 97503-1463
(541) 879-1697
Mailing address
2515 AGATE MEADOWS CT, WHITE CITY, OR 97503-1463
(541) 879-1697
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/24/2015
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