Latonya Green
Contractor in Arlington, TX. Individual provider (NPI-1).
NPI number1760708648
StatusActive
Last updated in NPPESApr 16, 2010
Details
- NPI
- 1760708648
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Latonya Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 16, 2010
- Last updated
- Apr 16, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 725107 | TX | Yes |
Other names
- Latonya Green (Professional Name)
Practice location
3902 Linden DrArlington, TX 76017-4637
Phone 972-660-1920 · Fax 817-563-1272
Mailing address
3902 Linden DrArlington, TX 76017-4637
Phone 972-660-1920 · Fax 817-563-1272
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