Victoria Leola Green

NPI #1366586802 in Sheridan, Wyoming

Provider Information

NPI Number: 1366586802
Entity Type: Individual
Name: Victoria Leola Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Respite Care
Enumeration Date: Feb 17, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 655 E BURKITT ST
City: Sheridan
State: Wyoming
ZIP Code: 82801-4401
Phone: (307) 674-6343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X	Primary

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