Individual
BRUCE H GREEN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
905 6TH ST SW APT 611, WASHINGTON, DC 20024-3820
(771) 245-6129
Mailing address
700 7TH ST SW APT 114, WASHINGTON, DC 20024-2461
(202) 344-0049
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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