Individual
BROOKLYN DYAN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16457 ETT NOECKER RD, ASHVILLE, OH 43103-9230
(740) 424-5095
Mailing address
16457 ETT NOECKER RD, ASHVILLE, OH 43103-9230
(740) 424-5095
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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