Desarae M Green, CRANIAL PROSTHESIS
NPI #1235986191 in Cleveland Heights, Ohio
Provider Information
- NPI Number
- 1235986191
- Entity Type
- Individual
- Name
- Desarae M Green, CRANIAL PROSTHESIS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Credential
- CRANIAL PROSTHESIS
- Enumeration Date
- Apr 30, 2024
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 1917 S TAYLOR RD # 203
- State
- Ohio
- ZIP Code
- 44118-2103
- Phone
- (440) 431-9108
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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