Bobby Durell Green

NPI #1851893234 in Coventry, Rhode Island

Provider Information

NPI Number: 1851893234
Entity Type: Individual
Name: Bobby Durell Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 1, 2018
Last Updated: Mar 1, 2018

Practice Location

Address: 50 MURRAY ST APT 9
City: Coventry
State: Rhode Island
ZIP Code: 02816-8122
Phone: (401) 677-9595

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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