Individual
MISS DENISHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 TULANE AVE, NEW ORLEANS, LA 70119-7185
(504) 302-1323
Mailing address
7535 MACKENZIE ST, NEW ORLEANS, LA 70128-1807
(504) 230-4535
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2019082
LA
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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