Lavanta Green

NPI #1164091740 in Pittsburg, California

Provider Information

NPI Number: 1164091740
Entity Type: Individual
Name: Lavanta Green
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jun 18, 2021
Last Updated: Jun 18, 2021

Practice Location

Address: 51 MARINA BLVD
City: Pittsburg
State: California
ZIP Code: 94565-2068
Phone: (925) 252-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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