CHANEL GREEN

GARDENA, CA
NPI1235917196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  PA64293)
Enumeration Date2023-09-20
Last Update Date2024-04-04
Business Address
CHANEL GREEN PA-C
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-228-2016
Mailing Address
CHANEL GREEN PA-C
15519 CRENSHAW BLVD
GARDENA, CA 90249-4525
Phone number: 310-228-2016
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