Individual
MR. MICHAEL GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT, CMMP
Contact information
Practice address
336 W BEDFORD AVE, SUITE 108, FRESNO, CA 93711-6185
(559) 476-6491
Mailing address
485 W NEES AVE APT 143, FRESNO, CA 93711-6864
(559) 476-6491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
61093
CA
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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