Individual
MRS. JOY LAVERN GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4700 EXCHANGE CT STE 110, BOCA RATON, FL 33431-4450
(561) 247-5907
(561) 431-2821
Mailing address
3419 SOUTHERN AVE, SUITLAND, MD 20746-2314
(202) 744-3843
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0006224
MD
Other
Enumeration date
07/15/2016
Last updated
02/07/2024
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