LAVERDIA GREEN

Technician/Technologist

Active Individual
NPI: 1528729902

Practice Address

1 HERITAGE DR
Southgate, MI 48195

Phone: (734) 767-2250

Specialties

Specialty Code Primary License
Technician/Technologist 156F00000X Yes -

Frequently Asked Questions

NPI 1528729902 is the National Provider Identifier for LAVERDIA GREEN, a Technician/Technologist provider located in Southgate, MI. This NPI was enumerated on January 6, 2022.
LAVERDIA GREEN practices at 1 HERITAGE DR, Southgate, MI 48195.

Quick Facts

NPI
1528729902
Type
Individual
Enumerated
Jan 6, 2022
Last Updated
Jan 6, 2022

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