GINA LEA GREEN

ANDERSON, MO
NPI1679239859
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MO  2014022979)
Enumeration Date2021-11-12
Last Update Date2021-11-12
Business Address
GINA LEA GREEN RDH
927 N 71 BUSINESS HWY
ANDERSON, MO 64831-9753
Phone number: 417-845-2273
Mailing Address
GINA LEA GREEN RDH
PO BOX 758
NEOSHO, MO 64850-0758
Phone number: 417-451-9450