Individual
ALI GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
864 WYOLEN ST, JACKSONVILLE, FL 32254-2943
(904) 389-3192
(904) 389-3192
Mailing address
864 WYOLEN ST, JACKSONVILLE, FL 32254-2943
(904) 389-3192
(904) 389-3192
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AL11369
FL
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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