Individual
MS. FELETA SHANAY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2826 TENNYSON BLVD APT A, COLUMBUS, OH 43232-5068
(220) 465-7589
Mailing address
2826 TENNYSON BLVD APT A, COLUMBUS, OH 43232-5068
(220) 465-7589
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
182916
OH
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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