ALIA DEYIRA GREEN

FAYETTEVILLE, AR
NPI1508509092
Former NameALIA DEYIRA PIERRE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AR  E-17218)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-04-14
Last Update Date2024-07-30
Business Address
ALIA DEYIRA GREEN MD
1125 N COLLEGE AVE
FAYETTEVILLE, AR 72703-1908
Phone number: 479-521-8260
Mailing Address
ALIA DEYIRA GREEN MD
4644 W DOVER ST
FAYETTEVILLE, AR 72704-5552
Phone number: 850-322-7094