Sierra Green
Technician, Other in Laurel, MD. Individual provider (NPI-1).
NPI number1851946438
StatusActive
Last updated in NPPESAug 9, 2019
Details
- NPI
- 1851946438
- Entity type
- Individual (NPI-1)
- Name
- Sierra Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 9, 2019
- Last updated
- Aug 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Practice location
8303 Falcon Point StLaurel, MD 20708-2325
Phone 301-802-4122
Mailing address
8303 Falcon Point StLaurel, MD 20708-2325
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Other Technician, Other providers in Laurel, MD
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