Individual
CASSANDRA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18469 S CENTERLINE RD, RUDYARD, MI 49780-8301
(757) 589-2191
Mailing address
18469 S CENTERLINE RD, RUDYARD, MI 49780-8301
(757) 589-2191
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/25/2015
Last updated
11/25/2015
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