Individual
DANIEL GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCHT
Contact information
Practice address
1609 TARLETON ST, SPRING VALLEY, CA 91977-3741
(619) 402-8277
Mailing address
1609 TARLETON ST, SPRING VALLEY, CA 91977-3741
(619) 402-8277
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
00019263
CA
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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