Michele Renee Green

NPI #1942980313 in Pocatello, Idaho

Provider Information

NPI Number: 1942980313
Entity Type: Individual
Name: Michele Renee Green
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 20, 2023
Last Updated: Jul 20, 2023

Practice Location

Address: 921 S 8TH AVE STOP 8253
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-4726

Specialties & Taxonomy Codes

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

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