Individual
CORINNE MICHELLE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19368 CORALTREE CT, LEHIGH ACRES, FL 33936-7346
(703) 989-3829
Mailing address
19368 CORALTREE CT, LEHIGH ACRES, FL 33936-7346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/13/2020
Last updated
04/13/2020
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