Individual
LATISHA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8800 THREE CHOPT RD APT 305, HENRICO, VA 23229-4734
(480) 702-6945
Mailing address
8800 THREE CHOPT RD APT 305, HENRICO, VA 23229-4734
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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