Individual
JENNIFER GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
13130 BURBANK BLVD, SHERMAN OAKS, CA 91401-6037
(818) 781-0360
Mailing address
4439 DULCINEA CT, WOODLAND HILLS, CA 91364-6120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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