MS. Hattie Green, LPN

NPI #1174995096 in Berkley, Michigan

Provider Information

NPI Number
1174995096
Entity Type
Individual
Name
MS. Hattie Green, LPN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Oct 30, 2015
Last Updated
Oct 30, 2015

Practice Location

Address
2766 W 11 MILE RD
Address 2
SUITE 2
ZIP Code
48072-3033
Phone
(248) 542-2424

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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