Individual
KANIKA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
200 K ST NW, APT #217, WASHINGTON, DC 20001-5500
(202) 359-6404
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/06/2012
Last updated
07/06/2012
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