Individual
MRS. SHARON ALICIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16000 YUCCA ST, HESPERIA, CA 92345-3517
(760) 887-1909
(530) 203-7286
Mailing address
16000 YUCCA ST, HESPERIA, CA 92345-3517
(760) 669-0300
(760) 244-0305
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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