Individual
ALEXANDER ELIJAH GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
32006 GROVE ST, AVON LAKE, OH 44012-1907
(440) 616-0082
Mailing address
32006 GROVE ST, AVON LAKE, OH 44012-1907
(440) 616-0082
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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