Individual
CHRISTINA MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 614-1400
Mailing address
580 MOHAWK DR, BOULDER, CO 80303-3712
(303) 808-5843
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
12/01/2009
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