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Individual

DANIELLE GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
7714 MARTIN LUTHER KING BLVD, HOUSTON, TX 77033-2014
(832) 517-9489
Mailing address
7714 MARTIN LUTHER KING BLVD, HOUSTON, TX 77033-2014

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
07/29/2014
Last updated
07/29/2014
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