Individual
JEAN C GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 N CAPITOL ST NW APT 213, WASHINGTON, DC 20002-7550
(202) 316-6069
Mailing address
1438 A ST NE, WASHINGTON, DC 20002-8438
(202) 271-2711
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/19/2018
Last updated
12/19/2018
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