Individual
JASMIN MARIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
15321 E 9 MILE RD APT A, EASTPOINTE, MI 48021-2212
(313) 879-8696
Mailing address
15321 E 9 MILE RD APT A, EASTPOINTE, MI 48021-2212
(313) 879-8696
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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