Individual
WENDY MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6124 E BROWN RD STE 102, MESA, AZ 85205-4959
(480) 229-4094
Mailing address
6124 E BROWN RD STE 102, MESA, AZ 85205-4959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86063644
AZ
Other
Enumeration date
04/04/2018
Last updated
03/28/2023
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