Individual
CHANCIS GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
296 E 17TH AVE, COLUMBUS, OH 43201-1707
(330) 531-4500
Mailing address
296 E 17TH AVE, COLUMBUS, OH 43201-1707
(330) 531-4500
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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