Individual
SHANDA R GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2944 COLERAIN AVE FL 2C, CINCINNATI, OH 45225-2121
(513) 370-7871
Mailing address
235 EASTWICK DR, CINCINNATI, OH 45246-3699
(513) 370-7871
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
07/31/2021
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