Individual
MARRITENA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
37 BELMONT ST, BROCKTON, MA 02301-5299
(508) 580-4691
(508) 588-5751
Mailing address
319 FRANCIS AVE, MANSFIELD, MA 02048-1560
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2263304
MA
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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