Individual
BERTHA MAE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
264 PASADENA AVE, YOUNGSTOWN, OH 44507-1527
(330) 719-1015
Mailing address
264 PASADENA AVE, YOUNGSTOWN, OH 44507-1527
(330) 719-1015
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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