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Individual

JOSEPH LEON GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
23845 MCBEAN PKWY, VALENCIA, CA 91355-2001
(661) 200-1601
Mailing address
25426 VIA PACIFICA, VALENCIA, CA 91355-2617

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
596225
CA
163WE0003X
Emergency Registered Nurse
Primary
596225
CA
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
596225
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
596225
BOARD OF REGISTERED NURSING LICENSE
CA
Enumeration date
04/22/2020
Last updated
01/22/2024
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