Mara Michelle Douglas-Green, LPN
NPI #1154199180 in Eastpointe, Michigan
Provider Information
- NPI Number
- 1154199180
- Entity Type
- Individual
- Name
- Mara Michelle Douglas-Green, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 19, 2023
- Last Updated
- Jan 4, 2024
Practice Location
- Address
- 16855 SPRENGER AVE
- City
- Eastpointe
- State
- Michigan
- ZIP Code
- 48021-3099
- Phone
- (313) 717-0672
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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