Individual
SIDNEY M GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.A.
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
WI032111001346
WI
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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