person
Henrietta Anne Green, PA-C
Medical Physician Assistant in Fontana, California
NPI 1548819634

Henrietta Anne Green is a Medical Physician Assistant based in Rialto, CA and is specialized in Medical. Henrietta Anne Green practices in Fontana, CA and has the professional credentials of PA-C. The NPI Number for Henrietta Anne Green is 1548819634 and holds a License No. (California).

The current practice location address for Henrietta Anne Green is 17577 Arrow Blvd, Fontana, CA and can be reached out via phone at 909-823-4454.

Location: 17577 Arrow Blvd, Fontana, CA, 92376-4814
person
Provider Profile Details
NPI Number
1548819634
Provider Name
Henrietta Anne Green
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
17577 Arrow Blvd, Fontana, CA, 92376-4814
Phone Number
909-823-4454
Fax Number
Provider Enumeration Date
09/10/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
17577 Arrow Blvd
City
State
Zip
92335-4011
Phone Number
909-823-4454
Fax Number
person
Provider Business Mailing Address Details
Address
17577 Arrow Blvd
City
State
Zip
92335-4011
Phone Number
909-823-4454
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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