Individual
ANTONIA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 UNITY AVE APT 1, NEWARK, NJ 07106-2696
(862) 231-0695
Mailing address
50 UNITY AVE APT 1, NEWARK, NJ 07106-2696
(862) 231-0695
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
26NH20917500
NJ
Other
Enumeration date
09/11/2023
Last updated
11/21/2023
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