Individual
CAROLYN LA-VERNE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1700 MYRTLE AVE, PLAINFIELD, NJ 07063-1000
(190) 875-3640
Mailing address
71 KENWOOD PL, EAST ORANGE, NJ 07018-1122
(973) 675-1734
(973) 675-6554
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
25ME00002300
NJ
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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