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Individual

JESSICA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
888 S KING ST, HONOLULU, HI 96813-3097
(808) 522-4469
Mailing address
888 S KING ST, HONOLULU, HI 96813-3097
(808) 522-4469

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD-21050
HI

Other

Enumeration date
06/26/2013
Last updated
10/01/2020
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