Individual
QUENTIN GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
184 E 17TH ST, RESERVE, LA 70084-5242
(504) 201-3305
Mailing address
184 E 17TH ST, RESERVE, LA 70084-5242
(504) 201-3305
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
LA
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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