Dwayne Anthony Green
NPI #1407414436 in Redding, California
Provider Information
- NPI Number
- 1407414436
- Entity Type
- Individual
- Name
- Dwayne Anthony Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Jun 4, 2019
- Last Updated
- Jun 4, 2019
Practice Location
- Address
- 2640 BRESLAUER WAY
- City
- Redding
- State
- California
- ZIP Code
- 96001-4246
- Phone
- (910) 554-5294
Specialties & Taxonomy Codes
| Specialty |
|---|
| Case Manager/Care Coordinator |
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