Individual
CRYSTAL GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3225 S RAINBOW BLVD UNIT 102-8, LAS VEGAS, NV 89146-6239
(702) 463-0085
Mailing address
9042 CEDAR DOOR AVE, LAS VEGAS, NV 89148-5121
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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