NPI 1063572477

Marshea T Green

Practitioner Contractor Glendale, AZ

Practice location

Address: 7326 N 73rd Dr, Glendale, AZ 85303-2007
Phone: (623) 847-1952

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1063572477
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.