Individual
MICHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 800-9005
Mailing address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 800-9005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R204869
MD
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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