Individual
DR. EMILY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, SN, PHD
Contact information
Practice address
201 N DOUGLAS ST, EL SEGUNDO, CA 90245-4637
(310) 970-4650
Mailing address
201 N DOUGLAS ST, EL SEGUNDO, CA 90245-4637
(310) 970-4650
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
742713
CA
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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