MS. Teresa Diane Green

NPI #1104154293 in Sikeston, Missouri

Provider Information

NPI Number
1104154293
Entity Type
Individual
Name
MS. Teresa Diane Green
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Homemaker
Enumeration Date
Nov 30, 2009
Last Updated
Nov 30, 2009

Practice Location

Address
415 W GLADYS ST
ZIP Code
63801-2733
Phone
(573) 475-9254

Specialties & Taxonomy Codes

Specialty
Homemaker

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