Individual
MS. DESIREE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N ORANGE GROVE BLVD, PASADENA, CA 91103-3333
(626) 796-3453
Mailing address
456 E. ORANGE GROVE BLVD. #208, PASADENA, CA 91104
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
03/03/2008
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