Individual
CHRISTINA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
80 CHARLES LN, DOVER, PA 17315-1206
(171) 766-8312
Mailing address
80 CHARLES LN, DOVER, PA 17315-1206
(171) 766-8312
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
NP290988
PA
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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