Individual
VIRGIREE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 SE MONROE ST, LAKE CITY, FL 32025-4529
(386) 344-4438
Mailing address
529 SE MONROE ST, LAKE CITY, FL 32025-4529
(386) 344-4438
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
417903
FL
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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