Individual
TANYA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6765 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2111
(267) 438-4191
Mailing address
6765 GERMANTOWN AVE, PHILADELPHIA, PA 19119-2111
(267) 438-4191
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
TGPN036445
PA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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