Individual
MRS. REBECCA ELIZABETH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13101 ALLEN RD, SOUTHGATE, MI 48195-2216
(734) 785-7700
Mailing address
4945 HILLCREST RD, TRENTON, MI 48183-4594
(734) 674-7158
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704344071
MI
Other
Enumeration date
07/24/2018
Last updated
07/24/2018
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