DWAYNE ANTHONY GREEN

REDDING, CA
NPI1407414436
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-06-04
Last Update Date2019-06-04
Business Address
DWAYNE ANTHONY GREEN
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 910-554-5294
Mailing Address
DWAYNE ANTHONY GREEN
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 910-554-5294
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