Individual
RENEE RENESA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 49TH ST NE, WASHINGTON, DC 20019-4822
(443) 354-2721
Mailing address
920 49TH ST NE, WASHINGTON, DC 20019-4822
(443) 354-2721
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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