Individual
VARQUWON LAMAR GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2041 E CENTRE AVE, PORTAGE, MI 49002-4417
(269) 762-1337
Mailing address
1617 LAFAYETTE AVE APT 302, KALAMAZOO, MI 49006-6610
(269) 762-1337
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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