Individual
DELORES GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1374 KING AVE, COLUMBUS, OH 43212-2271
(614) 832-0989
(614) 388-5554
Mailing address
1234 HILDRETH AVE, P.O. BOX 83502, COLUMBUS, OH 43203-1547
(614) 832-0989
(614) 388-5554
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
09/07/2011
Last updated
09/07/2011
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