Individual
MS. DEANNA LORRAINE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23 REED BLVD STE 120, MILL VALLEY, CA 94941-2370
(415) 795-7000
Mailing address
23 REED BLVD STE 120, MILL VALLEY, CA 94941-2370
(415) 795-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A165296
CA
Other
Enumeration date
03/19/2016
Last updated
11/14/2019
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