Individual
NANDI GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20014 MANOR ST, DETROIT, MI 48221-1073
(313) 587-8905
Mailing address
20014 MANOR ST, DETROIT, MI 48221-1073
(313) 587-8905
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/23/2016
Last updated
05/23/2016
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