Individual
JEFFREY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13800 E MARINA DR APT 211, AURORA, CO 80014-3785
(417) 257-5353
Mailing address
13800 E MARINA DR APT 211, AURORA, CO 80014-3785
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
181386
CO
Other
Enumeration date
11/04/2008
Last updated
11/04/2008
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