Deantae Green, QBA

NPI #1568701217 in Yerington, Nevada

Provider Information

NPI Number
1568701217
Entity Type
Individual
Name
Deantae Green, QBA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Rehabilitation Practitioner
Credential
QBA
Enumeration Date
Jan 31, 2013
Last Updated
Jan 31, 2013

Practice Location

Address
100 ROSASCHI RD
State
Nevada
ZIP Code
89447-8722
Phone
(800) 507-8662

Specialties & Taxonomy Codes

Specialty
Rehabilitation Practitioner

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