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Individual

JHADE R GREENE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6227 CRESTWAY AVE, BATON ROUGE, LA 70812-1531
(225) 229-5906
Mailing address
6227 CRESTWAY AVE, BATON ROUGE, LA 70812-1531
(225) 229-5906

Taxonomy

Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
Primary
45121589K
LA

Other

Enumeration date
10/27/2022
Last updated
10/27/2022
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