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Individual

JAY GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
318 E BASIN RD, NEW CASTLE, DE 19720-4214
(302) 832-6336
Mailing address
25 PINE GROVE LN, HOCKESSIN, DE 19707-2011
(302) 239-7454

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
L1-0034149
DE

Other

Enumeration date
10/03/2018
Last updated
10/03/2018
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