Individual
KELSEY BREANNA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
451 31ST AVE, SAN FRANCISCO, CA 94121-1720
(831) 240-9003
Mailing address
451 31ST AVE, SAN FRANCISCO, CA 94121-1720
(831) 240-9003
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
95142825
CA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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