Individual
CHERISE AYANA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 SHELBY ST STE 230, ONTARIO, CA 91764-4883
(909) 284-7300
Mailing address
3350 SHELBY ST STE 230, ONTARIO, CA 91764-4883
(909) 284-7300
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
CA
Other
Enumeration date
10/24/2024
Last updated
10/24/2024
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