Individual
ANGEL A GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 NORMA DR, DAYTONA BEACH, FL 32114-6509
(352) 682-7537
Mailing address
157 NORMA DR, DAYTONA BEACH, FL 32114-6509
(352) 682-7537
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
FL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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