Marshea T Green
Contractor in Glendale, AZ. Individual provider (NPI-1).
NPI number1063572477
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063572477
- Entity type
- Individual (NPI-1)
- Name
- Ms. Marshea T Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
7326 N 73rd DrGlendale, AZ 85303-2007
Phone 623-847-1952
Mailing address
7326 N 73rd DrGlendale, AZ 85303-2007
Phone 623-847-1952
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