Individual
MRS. CLAUDINE JEANNETTE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
193 WATERSIDE DR, LITTLE FERRY, NJ 07643-2215
(201) 440-4093
Mailing address
193 WATERSIDE DR, LITTLE FERRY, NJ 07643-2215
(201) 440-4093
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
297687
NY
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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