Individual
MR. RYAN R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
(410) 636-7506
Mailing address
2401 HAWKINS POINT RD, BALTIMORE, MD 21226-1797
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/12/2010
Last updated
02/12/2010
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