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Henrietta Green, PA-C
NPI 1548819634 · on the registry since 2019
Practice
- Address
- 17577 Arrow Blvd
Fontana, CA 92335 - Phone
- (909) 823-4454
- Organisation at this address
- Ftf Pharmacy Corporation
Lasalle Medical AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Sex
- Female
- Record last updated
- 2019-09-10
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 California