Individual
JUSTINA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8987 SIERRA ST, ELK GROVE, CA 95624-1963
(916) 716-2884
Mailing address
8987 SIERRA ST, ELK GROVE, CA 95624-1963
(916) 716-2884
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
811684
CA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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