CHARLES WESLEY GREEN

SHERMAN OAKS, CA
NPI1609604859
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: CA  784730)
Enumeration Date2024-07-22
Last Update Date2024-07-22
Business Address
MR. CHARLES WESLEY GREEN FNP-BC, FNP-C
4445 COLBATH AVE APT 107
SHERMAN OAKS, CA 91423-3523
Phone number: 859-620-4762
Mailing Address
MR. CHARLES WESLEY GREEN FNP-BC, FNP-C
4445 COLBATH AVE APT 107
SHERMAN OAKS, CA 91423-3523
Phone number: 859-620-4762