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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. PRISCILLA JO GREEN, RD

Active

MS. PRISCILLA JO GREEN, RD is a Registered Dietitian healthcare provider located in LOS CERRILLOS, New Mexico. NPI 1386107308 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · LOS CERRILLOS, NM

Registration Details

NPI Number
1386107308
Provider Type
Individual
Gender
Female
NPI Issued
Apr 8, 2019 (7.3097830678734 yrs)
Last Updated
Jun 11, 2019
License
LD-0653 (NM)

Practice Information

Address
351 RED ROCK ROAD
LOS CERRILLOS, NM, 87010
Browse NM providers · Browse ZIP 87010
Phone
5052748939
Primary Specialty
Registered Dietitian
133V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.