MR. Ryan R Green

NPI #1457683690 in Baltimore, Maryland

Provider Information

NPI Number: 1457683690
Entity Type: Individual
Name: MR. Ryan R Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Feb 12, 2010
Last Updated: Feb 12, 2010

Practice Location

Address: 2401 HAWKINS POINT RD
City: Baltimore
State: Maryland
ZIP Code: 21226-1797
Phone: (410) 636-7506

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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