Individual
MALACHI GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1868 E VALLEY PKWY, ESCONDIDO, CA 92027-2525
(760) 737-3154
Mailing address
1868 E VALLEY PKWY, ESCONDIDO, CA 92027-2525
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/27/2024
Last updated
09/27/2024
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