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Individual

TIMOTHY GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
481 E WRENWOOD AVE, APT 206, FRESNO, CA 93710-6154
(559) 301-9463
Mailing address
481 E WRENWOOD AVE, APT 206, FRESNO, CA 93710-6154
(559) 301-9463

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
225XP0019X
Physical Rehabilitation Occupational Therapist

Other

Enumeration date
10/14/2016
Last updated
10/14/2016
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