Individual
CHRISTINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
5241 SOUTHWEST AVE # F1, SAINT LOUIS, MO 63139-1444
(314) 292-9133
Mailing address
3721 AVONDALE AVE, SAINT LOUIS, MO 63121-3550
(314) 292-9133
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2014268
MO
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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