Individual
SHERRIS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 COLONIAL HILLS DR, AKRON, OH 44310-2360
(330) 351-9752
Mailing address
55 COLONIAL HILLS DR, AKRON, OH 44310-2360
(330) 351-9752
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103229
—
OH
Enumeration date
06/02/2015
Last updated
06/02/2015
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