Individual
THERESA MARY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
165 WHITMORE AVE, DAYTON, OH 45417-1433
(513) 690-8589
Mailing address
165 WHITMORE AVE, DAYTON, OH 45417-1433
(513) 690-8589
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/16/2024
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