Individual
MISS EMMA NICOLE GREEN I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11780 WATKINS RD, MARYSVILLE, OH 43040-8708
(614) 824-0990
Mailing address
11780 WATKINS RD, MARYSVILLE, OH 43040-8708
(614) 824-0990
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
07/23/2022
Last updated
07/23/2022
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