Individual
VIRGINIA H GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 W 3RD ST, JAMESTOWN, NY 14701-4910
(716) 294-1155
Mailing address
310 W 3RD ST, JAMESTOWN, NY 14701-4910
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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