Melanie Green

NPI #1073960738 in Westville, Oklahoma

Provider Information

NPI Number: 1073960738
Entity Type: Individual
Name: Melanie Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: May 23, 2016
Last Updated: Sep 1, 2016

Practice Location

Address: 500 W CHINCAPIN
City: Westville
State: Oklahoma
ZIP Code: 74965
Phone: (918) 723-3181

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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