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Individual

MRS. DENISE LOUISE GLENORE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BC, MSN

Contact information

Practice address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 833-2986
(909) 833-2998
Mailing address
233 BASELINE RD, LA VERNE, CA 91750-2353
(909) 833-2986
(909) 833-2998

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
430140
CA

Other

Enumeration date
07/26/2018
Last updated
07/26/2018
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