Branden Green

NPI #1417316688 in Fleetwood, Pennsylvania

Provider Information

NPI Number: 1417316688
Entity Type: Individual
Name: Branden Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Feb 17, 2016
Last Updated: Nov 22, 2016

Practice Location

Address: 324 N RICHMOND ST
City: Fleetwood
State: Pennsylvania
ZIP Code: 19522-1308
Phone: (610) 223-6279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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