CHARLES ALLEN BIRD

PROVO, UT
NPI1659966133
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-03-05
Last Update Date2021-03-05
Business Address
CHARLES ALLEN BIRD
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-9656
Mailing Address
CHARLES ALLEN BIRD
750 N FREEDOM BLVD
PROVO, UT 84601-1677
Phone number: 801-373-9656