Individual
ANDREA R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 SINCLAIR LN, SELAH, WA 98942-9013
(509) 697-4320
Mailing address
201 SINCLAIR LN, SELAH, WA 98942-9013
(509) 697-4320
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60070464
WA
Other
Enumeration date
12/10/2010
Last updated
05/16/2011
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