MARYELLEN E GREENE

LECANTO, FL
NPI1669521001
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA9104960)
Enumeration Date2007-01-08
Last Update Date2012-03-22
Business Address
-- MARYELLEN E GREENE PA-C
1990 N PROSPECT AVE
LECANTO, FL 34461-9792
Phone number: 352-527-6888
Mailing Address
-- MARYELLEN E GREENE PA-C
1990 N PROSPECT AVE
LECANTO, FL 34461-9792
Phone number: 352-527-6888
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