Individual
DR. HARRY MIGUEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4641 MISSOURI FLAT RD, PLACERVILLE, CA 95667-6816
(510) 642-0749
Mailing address
4327 GOLDEN CENTER DR, PLACERVILLE, CA 95667-6287
(530) 621-7700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13578T
CA
Other
Enumeration date
07/25/2008
Last updated
06/09/2022
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