Individual
MELVINA B GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7504 RIDGEWAY RD N, JACKSONVILLE, FL 32244-1536
(904) 761-4125
Mailing address
7504 RIDGEWAY RD N, JACKSONVILLE, FL 32244-1536
(904) 761-4125
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
1033826565
FL
Other
Enumeration date
11/03/2022
Last updated
04/24/2023
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