IndividualActive
Desarae Green, CRANIAL PROSTHESIS
NPI 1235986191 · Prosthetic/Orthotic Supplier · Cleveland Heights, OH
Provider details
- NPI number
- 1235986191
- Entity type
- Individual
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Credential
- CRANIAL PROSTHESIS
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Suppliers
Practice location
1917 S Taylor Rd # 203
Cleveland Heights, OH 44118-2103
Phone: (440) 431-9108
Approximate (ZIP-level) locationGet directions
Mailing address
1917 S Taylor Rd # 203
Cleveland Heights, OH 44118-2103
Registry dates
- Enumerated
- 2024-04-30
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.