CHANEL GREEN

COSTA MESA, CA
NPI1235917196
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2023-09-20
Last Update Date2024-08-29
Business Address
CHANEL GREEN PA-C
700 W 19TH ST
COSTA MESA, CA 92627-3517
Phone number: 949-866-3600
Mailing Address
CHANEL GREEN PA-C
700 W 19TH ST
COSTA MESA, CA 92627-3517
Phone number: 949-866-3600
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