Individual
RANASIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 PATTERSON AVE SW, ROANOKE, VA 24016-3203
(540) 348-4700
Mailing address
1405 PATTERSON AVE SW, ROANOKE, VA 24016-3203
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704017018
VA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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