CHARLIE FARISH

MODESTO, CA
NPI1821804071
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2024-12-03
Last Update Date2024-12-03
Business Address
CHARLIE FARISH
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824
Mailing Address
CHARLIE FARISH
121 DOWNEY AVE
MODESTO, CA 95354-1208
Phone number: 209-341-1824