MR. Johnny Ray Green JR.

NPI #1275283921 in Catoosa, Oklahoma

Provider Information

NPI Number
1275283921
Entity Type
Individual
Name
MR. Johnny Ray Green JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Mar 25, 2022
Last Updated
Mar 25, 2022

Practice Location

Address
20214 E ADMIRAL PL APT 732
ZIP Code
74015-3265
Phone
(870) 680-0227

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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