Individual
CHANDA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9240 DANCY AVE, BATON ROUGE, LA 70814-3003
(225) 636-0822
Mailing address
9240 DANCY AVE, BATON ROUGE, LA 70814-3003
(225) 636-0822
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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