Individual
ERIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 RICE CREEK TER NE, FRIDLEY, MN 55432-4440
(763) 360-8905
Mailing address
525 RICE CREEK TER NE, FRIDLEY, MN 55432-4440
(763) 360-8905
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/24/2015
Last updated
02/24/2015
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