Individual
JENNIFER DARA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND
Contact information
Practice address
4050 W MAPLE RD STE 108, BLOOMFIELD HILLS, MI 48301-3118
(248) 480-4402
Mailing address
4050 W MAPLE RD STE 108, BLOOMFIELD HILLS, MI 48301-3118
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
41
NH
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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