Ashley Green, PA-C, RD, LD/N

NPI #1205443728 in Lake Mary, Florida

Provider Information

NPI Number
1205443728
Entity Type
Individual
Name
Ashley Green, PA-C, RD, LD/N
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA-C, RD, LD/N
Enumeration Date
Sep 29, 2020
Last Updated
Apr 7, 2025

Practice Location

Address
1301 S INTERNATIONAL PKWY STE 1041
State
Florida
ZIP Code
32746-1410
Phone
(407) 732-7668

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered
Physician Assistant

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