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Mrs. Mallori Estelle Green
Technician/Technologist in Dearborn, Michigan
NPI 1720727530

Mallori Estelle Green is a Technician/Technologist based in Dearborn, MI. Mallori Estelle Green practices in Dearborn, MI. The NPI Number for Mallori Estelle Green is 1720727530 and holds a License No. (Michigan).

The current practice location address for Mallori Estelle Green is 19853 Outer Dr Ste 110, Dearborn, MI and can be reached out via phone at 313-406-5056.

Location: 19853 Outer Dr Ste 110, Dearborn, MI, 48124-2044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720727530
Provider Name
Mallori Estelle Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
19853 Outer Dr Ste 110, Dearborn, MI, 48124-2044
Phone Number
313-406-5056
Fax Number
Provider Enumeration Date
05/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19853 Outer Dr Ste 110
City
Dearborn
State
Michigan
Zip
48124-2044
Phone Number
313-406-5056
Fax Number
person
Provider Business Mailing Address Details
Address
19853 Outer Dr Ste 110
City
Dearborn
State
Michigan
Zip
48124-2044
Phone Number
313-406-5056
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
-
Taxonomy
156F00000X
License No.
()
Definition
A broad category grouping different kinds of technologists and technicians. See individual definitions.
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