Individual
JEWELLIUS ORRYON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
506 W JACKMAN ST, LANCASTER, CA 93534-2531
(661) 726-2850
Mailing address
2861 JOJOBA TER, PALMDALE, CA 93550-5804
(661) 794-1418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
04/28/2025
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