Individual
JOY MARIE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1323 HALL ST SE, GRAND RAPIDS, MI 49506-3258
(616) 666-1284
Mailing address
1323 HALL ST SE, GRAND RAPIDS, MI 49506-3258
(616) 666-1284
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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