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Contact Information

PRISCILLA J GREEN, RD
351 RED ROCK ROAD
LOS CERRILLOS, NM87010
 Phone: 505-274-8939
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for PRISCILLA J GREEN · (Female)

NPI Number 1386107308
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 04/08/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # LD-0653
  • NM Other LD-0653 SELF PAY
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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