Individual
MS. DONNELL LYN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AIDE
Contact information
Practice address
4024 BURTON DR, STOW, OH 44224-3540
(330) 686-1017
Mailing address
4024 BURTON DR, STOW, OH 44224-3540
(330) 686-1017
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
2775779
OH
Other
Enumeration date
03/31/2008
Last updated
03/31/2008
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