Mia Green

NPI #1003167776 in Laurelton, New York

Provider Information

NPI Number
1003167776
Entity Type
Individual
Name
Mia Green
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Sep 21, 2012
Last Updated
Sep 21, 2012

Practice Location

Address
13053 225TH ST
ZIP Code
11413-1228
Phone
(718) 525-1420

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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