Individual
DENISE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 W AVENUE K8 APT 207, LANCASTER, CA 93534-5939
(559) 307-8409
Mailing address
1608 W AVENUE K8 APT 207, LANCASTER, CA 93534-5939
(559) 307-8409
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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