Tanisha Green, LPN

NPI #1053061168 in Dayton, Ohio

Provider Information

NPI Number
1053061168
Entity Type
Individual
Name
Tanisha Green, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Mar 24, 2022
Last Updated
Mar 24, 2022

Practice Location

Address
4611 COLLEGE VIEW DR
City
Dayton
State
Ohio
ZIP Code
45417-8915
Phone
(937) 670-9700

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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