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Individual

JOSHUA L GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC, EAMP, MQP

Contact information

Practice address
611 MAIN ST, SUITE A, EDMONDS, WA 98020-3096
(425) 256-7798
(425) 274-3409
Mailing address
611 MAIN ST, SUITE A, EDMONDS, WA 98020-3096
(425) 256-7798
(425) 274-3409

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1105
HI
171100000X
Acupuncturist
155797
OR
171100000X
Acupuncturist
Primary
AC60244418
WA

Other

Enumeration date
09/26/2011
Last updated
08/03/2016
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