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Individual

PAULINE ALICIA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
425 MOONCREST LN, SANTA MARIA, CA 93455-3765
(805) 937-5920
Mailing address
917 W HICKORY AVE, LOMPOC, CA 93436-6505

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
CA
225400000X
Rehabilitation Practitioner
373H00000X
Day Training/Habilitation Specialist
CA

Other

Enumeration date
01/22/2025
Last updated
04/16/2026
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