Donald James Green

NPI #1205123031 in Portland, Maine

Provider Information

NPI Number: 1205123031
Entity Type: Individual
Name: Donald James Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jun 30, 2011
Last Updated: Jun 30, 2011

Practice Location

Address: 246 SAINT JOHN ST
City: Portland
State: Maine
ZIP Code: 04102-3019
Phone: (207) 773-9660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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