STACEY D GREEN

LOS ANGELES, CA
NPI1053374397
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  602389)
Enumeration Date2006-04-08
Last Update Date2020-01-02
Business Address
STACEY D GREEN NP
200 UCLA MEDICAL PLZ STE 120
LOS ANGELES, CA 90095-1835
Phone number: 310-206-9260
Mailing Address
STACEY D GREEN NP
5767 W CENTURY BLVD STE 400
LOS ANGELES, CA 90045-5631
Phone number:
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