Individual
ANNA MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
759 MARSHALL RD, ROCHESTER, NY 14624-4951
(585) 530-9908
Mailing address
759 MARSHALL RD, ROCHESTER, NY 14624-4951
(585) 530-9908
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
318251-1
NY
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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