SANDY CHARLES GREEN

PORTSMOUTH, VA
NPI1679369466
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date2025-04-17
Last Update Date2025-04-17
Business Address
SANDY CHARLES GREEN IDHS
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703-2135
Phone number: 757-483-8784
Mailing Address
SANDY CHARLES GREEN IDHS
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23703-2135
Phone number:
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