Individual
MS. DONNA JEAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 BAILEY DR, DESOTO, TX 75115-6205
(972) 217-9159
(972) 230-6823
Mailing address
139 BAILEY DR, DESOTO, TX 75115-6205
(972) 217-9159
(972) 230-6823
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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