Individual
DONALD JAMES GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 SAINT JOHN ST, PORTLAND, ME 04102-3019
(207) 773-9660
Mailing address
PO BOX 341, SACO, ME 04072-0341
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
ME
Other
Enumeration date
06/30/2011
Last updated
06/30/2011
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