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Individual

TINA GREEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201 HIGHLAND DR APT 111, TAYLOR, TX 76574-1849
(512) 584-1221
(512) 309-4432
Mailing address
201 HIGHLAND DR APT 111, TAYLOR, TX 76574-1849
(512) 584-1221
(512) 309-4432

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
S4Y5X8C8
TX

Other

Enumeration date
05/09/2014
Last updated
05/09/2014
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