Individual
PRINCESS CHAUNI NOELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 W 19TH ST APT 4, LONG BEACH, CA 90810-4107
(858) 275-4348
Mailing address
1305 W 19TH ST APT 4, LONG BEACH, CA 90810-4107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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