Individual
CHRISTOPHER ISAIAH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
3832 156TH ST SW, H305, LYNNWOOD, WA 98087-8451
(425) 772-5907
Mailing address
3832 156TH ST SW, H305, LYNNWOOD, WA 98087-8451
(425) 772-5907
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA60261639
WA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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