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Individual

ANTHONIA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
23770 BROWNSTOWN SQUARE DR, ROMULUS, MI 48174-9390
(313) 718-0062
Mailing address
23770 BROWNSTOWN SQUARE DR, ROMULUS, MI 48174-9390

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704301745
MI

Other

Enumeration date
12/28/2017
Last updated
12/28/2017
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