Individual
MISS MASHENDA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
90 RALPH ST APT 3, BELLEVILLE, NJ 07109-5204
(973) 302-4949
Mailing address
90 RALPH STREET UNIT # 3, BELLEVILLE, NJ 07109
(973) 302-4949
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NJ00141100
NJ
Other
Enumeration date
09/13/2007
Last updated
11/11/2010
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