CHARLES MICHAEL NILES

AZUSA, CA
NPI1811355910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2016-02-03
Last Update Date2016-02-03
Business Address
-- CHARLES MICHAEL NILES
23701 E EAST FORK RD
AZUSA, CA 91702-1477
Phone number: 626-250-3290
Mailing Address
-- CHARLES MICHAEL NILES
23701 E EAST FORK RD
AZUSA, CA 91702-1477
Phone number: 626-250-3290
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