Individual
MR. ERIC JEROME GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
73 GREENWOOD LN, MONROE, CT 06468-2406
(917) 576-3023
Mailing address
73 GREENWOOD LN, MONROE, CT 06468-2406
(917) 576-3023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10566
CT
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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