Individual
MR. MARC THOMAS GREEN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED PEER
Contact information
Practice address
7001 EAST PKWY STE 800, SACRAMENTO, CA 95823-2501
(916) 879-1043
Mailing address
7001 EAST PKWY STE 800, SACRAMENTO, CA 95823-2501
(916) 879-1043
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-DPNCOE
CA
Other
Enumeration date
07/18/2007
Last updated
05/24/2024
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