Individual
MARLYN DAZA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HIS
Contact information
Practice address
9576 RIDGETOP BLVD NW STE 103, SILVERDALE, WA 98383-8554
(360) 551-4800
(360) 551-4801
Mailing address
7319 CREEK WOOD PL NE, BREMERTON, WA 98311-8208
(360) 731-5650
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA61074569
WA
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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