Individual
MENTORIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 HOUSTON ST STE 103, MANHATTAN, KS 66502-6497
(785) 236-8176
Mailing address
322 HOUSTON ST STE 103, MANHATTAN, KS 66502-6497
(785) 236-8176
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
KS
Other
Enumeration date
01/16/2023
Last updated
01/16/2023
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