Individual
FREYA DEANNA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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