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Jessica Green
NPI 1417108218 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1659 E Draper Cir
Mesa, AZ 85203 - Phone
- (480) 892-8071
- Organisation at this address
- Tree Of Life Arizona Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona