Individual
AMELIA GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
13114 SYCAMORE AVE, GRANDVIEW, MO 64030-3579
(708) 912-3702
Mailing address
13114 SYCAMORE AVE, GRANDVIEW, MO 64030-3579
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
123120A
MO
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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