Individual
LINDA MAYFIELD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7381 PRAIRIE FALCON RD STE 110, LAS VEGAS, NV 89128-0812
(702) 561-8813
Mailing address
7381 PRAIRIE FALCON RD STE 110, LAS VEGAS, NV 89128-0812
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
12/03/2010
Last updated
01/05/2011
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