Individual
MRS. TENESHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1326 TACOMA AVE S, TACOMA, WA 98402-1983
(253) 486-2066
Mailing address
1326 TACOMA AVE S, TACOMA, WA 98402-1983
(253) 486-2066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
56215
CA
363A00000X
Physician Assistant
Primary
PA61139272
WA
Other
Enumeration date
03/02/2017
Last updated
09/16/2024
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