Individual
MRS. ALISHA RENEE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
5800 W IVANHOE ST, CHANDLER, AZ 85226-1845
(480) 893-1045
Mailing address
5800 W IVANHOE ST, CHANDLER, AZ 85226-1845
(480) 893-1045
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2739
AZ
Other
Enumeration date
06/16/2006
Last updated
07/09/2007
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