CHARLIE REVAY
Community Health Worker
Active
Individual
NPI: 1730465360
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | MA 58964 (FL) |
Frequently Asked Questions
NPI 1730465360 is the National Provider Identifier for CHARLIE REVAY, a Community Health Worker provider located in St Augustine, FL. This NPI was enumerated on October 27, 2011.
CHARLIE REVAY practices at 6550 STATE ROAD 13 N, St Augustine, FL 32092.
Quick Facts
- NPI
- 1730465360
- Type
- Individual
- Enumerated
- Oct 27, 2011
- Last Updated
- Oct 27, 2011
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