Makiba Latise Green
NPI #1013418425 in Rialto, California
Provider Information
- NPI Number
- 1013418425
- Entity Type
- Individual
- Name
- Makiba Latise Green
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Rehabilitation Practitioner
- Enumeration Date
- Feb 22, 2018
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 850 E FOOTHILL BLVD
- City
- Rialto
- State
- California
- ZIP Code
- 92376-5230
- Phone
- (909) 539-7566
Specialties & Taxonomy Codes
| Specialty |
|---|
| Doula |
| Case Manager/Care Coordinator |
| Social Worker |
| Rehabilitation Practitioner |
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