Individual provider · Type 1 NPI

Davietta Green

Other Technician · Dearborn, MI

NPI number 1750831947 Active

Practice location

3231 S Gulley Rd, Suite E
Dearborn, MI 48124-4407

Mailing address

620 Germantown Pike
Lafayette Hill, PA 19444-1810

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1750831947

Davietta Green's National Provider Identifier is 1750831947, issued on Oct 11, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Dearborn, MI. The record was last updated on Oct 11, 2016.