Mimoka Green
NPI #1932680816 in Harker Heights, Texas
Provider Information
- NPI Number
- 1932680816
- Entity Type
- Individual
- Name
- Mimoka Green
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Aug 28, 2018
- Last Updated
- Aug 28, 2018
Practice Location
- Address
- 2404 LIMESTONE TRL
- City
- Harker Heights
- State
- Texas
- ZIP Code
- 76548-8909
- Phone
- (318) 792-7004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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