Individual
DONNA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4339 BOWEN RD SE APT 206, WASHINGTON, DC 20019-5637
(202) 465-2709
Mailing address
3936 CLAY PL NE, WASHINGTON, DC 20019-3337
(202) 465-2709
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747P1801X
HOME HEALTH CARE AIDE
—
Enumeration date
11/07/2022
Last updated
11/07/2022
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