Individual
ESE P GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4815 ALAMEDA AVE, EL PASO, TX 79905-2705
(915) 783-8100
(915) 783-8187
Mailing address
4337 LOMA DE LUNA DR, EL PASO, TX 79934-3757
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
81115
TX
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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