Individual
KHALIFAH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14335 MANSFIELD ST, DETROIT, MI 48227
(313) 478-4419
Mailing address
14335 MANSFIELD ST, DETROIT, MI 48227
(313) 478-4419
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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