Individual
RAENELL GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
232 34TH ST NE, WASHINGTON, DC 20019-1311
(202) 704-7385
Mailing address
636 5TH AVE, HALETHORPE, MD 21227-3220
(443) 306-1067
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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