Individual
MR. JOSEPH E GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
140 SYLVESTER RD, BLDG 139, SAN DIEGO, CA 92106-3521
(619) 808-3790
Mailing address
140 SYLVESTER RD BLDG 139, SAN DIEGO, CA 92106-3521
(619) 808-3790
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
05/08/2008
Last updated
03/27/2012
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