DEIDRE GREEN

NORTHRIDGE, CA
NPI1922317049
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2010-10-07
Last Update Date2010-10-07
Business Address
-- DEIDRE GREEN
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: 818-993-9311
Mailing Address
-- DEIDRE GREEN
9650 ZELZAH AVE
NORTHRIDGE, CA 91325-2003
Phone number: