Individual
JULIA AMANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
BUILDING 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FT RUCKER, AL 36362-5333
(334) 255-7894
(334) 255-7368
Mailing address
138 WHITE AVE, OZARK, AL 36360
(334) 255-7894
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-090347
AL
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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