Maynard A Green
NPI #1285907485 in Carson City, Nevada
Provider Information
- NPI Number
- 1285907485
- Entity Type
- Individual
- Name
- Maynard A Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Feb 17, 2012
- Last Updated
- Feb 17, 2012
Practice Location
- Address
- 955 LADERA DR
- City
- Carson City
- State
- Nevada
- ZIP Code
- 89701-2048
- Phone
- (775) 445-9392
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation Practitioner |
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