Individual
HERMANN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 S 7TH AVE, PASCO, WA 99301-5794
(509) 416-8810
Mailing address
1020 S 7TH AVE, PASCO, WA 99301-5794
(509) 416-8810
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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