Individual
JENNIFER MOODY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
16418 BROOKFORD DR, HOUSTON, TX 77059-4707
(281) 825-2799
Mailing address
16418 BROOKFORD DR, HOUSTON, TX 77059-4707
(281) 825-2799
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
336799
TX
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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