Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 215 | HI |
NPI | 1134402779 |
---|---|
Provider Name | Dr. Maile L Green |
First Address | Waipahu, HI 96797-4451 |
Second Address | Waipahu, HI 96797-4451 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2011 |
Last Update Date | 30/07/2020 |