Individual
ANTONIO GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 WIND CHIME CT, RALEIGH, NC 27615-6433
(919) 578-0330
Mailing address
2301 WILDER CLIFF ST APT 108, RALEIGH, NC 27615-2447
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22389
NC
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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