Individual
EUNIQUICA TANETTE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
906 PARKWOOD TRCE, JACKSON, TN 38301-8726
(954) 815-7223
Mailing address
906 PARKWOOD TRCE, JACKSON, TN 38301-8726
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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