Individual
DESTYNE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 ARLINGTON AVE, LOS ANGELES, CA 90018-1353
(323) 334-9000
(323) 334-4437
Mailing address
2116 ARLINGTON AVE, LOS ANGELES, CA 90018-1353
(323) 334-9000
(323) 334-4437
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
04/21/2025
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