Individual
LOLITA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
114 SESAR CT, WINCHESTER, VA 22602-6791
(540) 662-4998
(540) 662-4998
Mailing address
114 SESAR CT, WINCHESTER, VA 22602-6791
(540) 662-4998
(540) 662-4998
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
207
VA
Other
Enumeration date
01/12/2016
Last updated
01/12/2016
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