THERESA ANN GREEN

CLARKSVILLE, TN
NPI1629269931
Professional NameTHERESA A GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy126800000X Dental Assistant
(Licence: TN  DA0000010736)
Enumeration Date2007-08-05
Last Update Date2007-08-05
Business Address
Mrs. THERESA ANN GREEN RDA
1573 FORT CAMPBELL BLVD
CLARKSVILLE, TN 37042-3535
Phone number: 931-553-0919
Mailing Address
Mrs. THERESA ANN GREEN RDA
P.O. BOX 2339
CLARKSVILLE, TN 37042-2339
Phone number: 931-553-0919