Individual
TIRZAH GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9012 W BETHANY HEIGHTS DR, GLENDALE, AZ 85305-2016
(602) 900-3892
Mailing address
9012 W BETHANY HEIGHTS DR, GLENDALE, AZ 85305-2016
(602) 900-3892
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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