Individual
MRS. KAREN SHEPHERD GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2946 N MARTHA AVE, LAKELAND, FL 33805-2240
(863) 669-6540
Mailing address
2946 N MARTHA AVE, LAKELAND, FL 33805-2240
(863) 669-6540
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
100826300
FL
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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