SHANTEL LANESE GREEN

PASADENA, CA
NPI1497321327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2021-06-01
Last Update Date2021-06-01
Business Address
SHANTEL LANESE GREEN
940 AVENUE 64
PASADENA, CA 91105-2711
Phone number: 323-254-2274
Mailing Address
SHANTEL LANESE GREEN
815 COLORADO BLVD STE 300
LOS ANGELES, CA 90041-1744
Phone number: 323-636-8122
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