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Individual

TANYA GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
133 ROLLINS AVE STE 2, ROCKVILLE, MD 20852-4040
(301) 468-7670
(301) 468-7620
Mailing address
1320 OLD CHAIN BRIDGE RD STE 185, MC LEAN, VA 22101-3945
(703) 942-8110
(703) 942-8042

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00745
MD
237600000X
Audiologist-Hearing Aid Fitter
00745
MD

Other

Enumeration date
03/10/2009
Last updated
08/09/2022
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