Individual
MRS. DEONDRALIQUE GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NRCMA,CPT
Contact information
Practice address
4024 N PRINCE ST STE E, CLOVIS, NM 88101-9739
(800) 375-1066
Mailing address
PO BOX 330331, FORT WORTH, TX 76163-0331
(800) 375-1066
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/21/2023
Last updated
12/16/2025
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