INA GREEN

DEL CITY, OK
NPI1467699025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OK  1010)
Enumeration Date2009-01-19
Last Update Date2009-01-19
Business Address
-- INA GREEN PAC
4335 SE 15TH ST
DEL CITY, OK 73115-3001
Phone number: 405-600-9988
Mailing Address
-- INA GREEN PAC
PO BOX 14587
OKLAHOMA CITY, OK 73113-0587
Phone number: 405-600-9988