Individual
MRS. TIFFANY MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4236 36TH AVE S, SEATTLE, WA 98118-1312
(206) 723-2820
Mailing address
4236 36TH AVE S, SEATTLE, WA 98118-1312
(206) 723-2820
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH60070039
WA
111N00000X
Chiropractor
DC-30447
CA
Other
Enumeration date
12/26/2007
Last updated
03/31/2009
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