Individual
DEANNA N GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
11927 ELLIOTT AVE, EL MONTE, CA 91732-3740
(626) 350-5304
(626) 350-0756
Mailing address
1977 N GAREY AVE, SUITE 6, POMONA, CA 91767-2774
(909) 623-6651
(909) 623-0455
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
240383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BRI5533
LACDMH STAFF CODE
CA
Enumeration date
05/22/2009
Last updated
05/22/2009
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