Individual
DARICA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9730 BAIRD RD APT 1421, SHREVEPORT, LA 71118-3822
(318) 550-7655
Mailing address
9730 BAIRD RD APT 1421, SHREVEPORT, LA 71118-3822
(318) 550-7655
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
140249
LA
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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