Individual
MISS RANDI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
265 N MICHIGAN AVE, COLDWATER, MI 49036-1528
(517) 278-5933
Mailing address
180 S BATAVIA RD, COLDWATER, MI 49036-9382
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/01/2011
Last updated
10/02/2012
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