Individual
DONNA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 MAIN ST, EVERETT, MA 02149-5724
(617) 389-0820
Mailing address
308 MAIN ST, EVERETT, MA 02149-5724
(617) 389-0820
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
6039
MA
3747P1801X
Personal Care Attendant
6039
MA
374U00000X
Home Health Aide
6039
MA
376J00000X
Homemaker
Primary
6039
MA
376K00000X
Nurse's Aide
6039
MA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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