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Shannon Green
NPI 1306370150 · on the registry since 2017
Practice
- Address
- 200 W Arbor Dr # Mc8425
San Diego, CA 92103 - Phone
- (619) 543-3534
- Clinicians at this address
- 112
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 207R00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-27
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