Individual
MRS. MEGAN MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDMS RVT
Contact information
Practice address
2106 CARROLL GARDENS LN, TAMPA, FL 33612-5012
(813) 731-7472
Mailing address
2106 CARROLL GARDENS LN, TAMPA, FL 33612-5012
(813) 731-7472
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
117328
FL
2471V0105X
Vascular Sonography Radiologic Technologist
117328
FL
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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