Individual
MRS. UTHONA RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(937) 268-6511
Mailing address
2525 S PARK LN, CENTERVILLE, OH 45458-9386
(937) 268-6511
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
2008002822
OH
Other
Enumeration date
11/07/2008
Last updated
11/07/2008
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