Individual
MARY CHRISTINE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PCNS-BC
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5392
(314) 268-6441
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5392
(314) 268-6441
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
079924
MO
Other
Enumeration date
11/01/2012
Last updated
11/01/2012
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