Individual
MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3606 N RANCHO DR, STE. #142, LAS VEGAS, NV 89130-3195
(702) 778-5300
Mailing address
8417 RUNNING DEER AVE UNIT 201, LAS VEGAS, NV 89145-4593
(702) 354-5656
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/26/2012
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