Individual
JULIE CLAIRE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
4778 HOLLY ST, SANTA ROSA, CA 95404-9537
(707) 490-7053
Mailing address
4778 HOLLY ST, SANTA ROSA, CA 95404-9537
(707) 490-7053
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND-215
CA
Other
Enumeration date
04/16/2013
Last updated
04/16/2013
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