MS. Jivonne Nikell Prioleau-Green, HS

NPI #1063547966 in Philadelphia, Pennsylvania

Provider Information

NPI Number: 1063547966
Entity Type: Individual
Name: MS. Jivonne Nikell Prioleau-Green, HS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Military Health Care Provider - Independent Duty Corpsman
Credential: HS
Enumeration Date: Feb 22, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 WASHINGTON AVE
City: Philadelphia
State: Pennsylvania
ZIP Code: 19147-4335
Phone: (215) 271-4816

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman	1710I1002X	Primary

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