LANCE JUSTIN GREEN

SAN LEANDRO, CA
NPI1679802573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2009-12-24
Last Update Date2009-12-24
Business Address
Mr. LANCE JUSTIN GREEN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-481-1222
Mailing Address
Mr. LANCE JUSTIN GREEN
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: