LARRY GREEN
Community Health Worker
Active
Individual
NPI: 1639627243
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1639627243 is the National Provider Identifier for LARRY GREEN, a Community Health Worker provider located in Bountiful, UT. This NPI was enumerated on September 13, 2016.
LARRY GREEN practices at 501 W 2600 S STE 200, Bountiful, UT 84010.
Quick Facts
- NPI
- 1639627243
- Type
- Individual
- Enumerated
- Sep 13, 2016
- Last Updated
- Sep 13, 2016
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