Individual
SASHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6622
(331) 436-4403
Mailing address
700 PUJO ST STE A, LAKE CHARLES, LA 70601-4378
(337) 436-6622
(331) 436-4403
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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