Patricia Suzanne Green

NPI #1043935281 in Houston, Texas

Provider Information

NPI Number: 1043935281
Entity Type: Individual
Name: Patricia Suzanne Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Enumeration Date: Oct 10, 2022
Last Updated: Oct 10, 2022

Practice Location

Address: 5831 CERRITOS DR
City: Houston
State: Texas
ZIP Code: 77035-2515
Phone: (540) 476-3865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary
Massage Therapist	225700000X

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