Individual
NIA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNA
Contact information
Practice address
108 GREEN PINE CT APT 1A, WINDSOR MILL, MD 21244-1394
(443) 740-5172
Mailing address
5507 CHANNING RD, BALTIMORE, MD 21229-1007
(443) 740-5172
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
AOOO49798
MD
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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