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Individual

MRS. AMBER LYNN GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
715 E KING ST, SEAFORD, DE 19973-3505
(302) 628-3000
Mailing address
715 E KING ST, SEAFORD, DE 19973-3505
(302) 628-3000

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
J2-0000787
DE

Other

Enumeration date
12/21/2015
Last updated
12/21/2015
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