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Individual

LATONIA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043
(919) 781-9565
Mailing address
2626 GLENWOOD AVE, SUITE 160, RALEIGH, NC 27608-1043

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2161
NC

Other

Enumeration date
06/30/2009
Last updated
06/30/2009
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