Individual
ANITA F MARTIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
731 DOGWOOD CIR, FAIRFIELD, CA 94533-1456
(707) 434-8780
Mailing address
1144 MEADOWLARK DR, VACAVILLE, CA 95687-7211
(707) 694-3221
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/20/2021
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