Individual
RAQUEL N GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
45335 SIERRA HWY, LANCASTER, CA 93534-1611
(661) 949-8599
Mailing address
45335 SIERRA HWY, LANCASTER, CA 93534-1611
(661) 949-8599
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
543974
CA
363L00000X
Nurse Practitioner
RN543974
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
543974
RN
CA
Enumeration date
10/05/2006
Last updated
10/13/2023
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