Organization
RICHARD GARLAND GREENE
Active
Other names
active weight solutions
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD GARLAND GREENE (OWNER)
(909) 267-4865
Entity
Organization
Contact information
Practice address
1466-M E FOOTHILL BLVD, SUITE 202, UPLAND, CA 91786-4000
(909) 267-4865
Mailing address
1466-M E FOOTHILL BLVD, SUITE 202, UPLAND, CA 91786-4000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
05D1088963
CA
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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