Individual
ZARIFA NICOLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C98025
Contact information
Practice address
207 OWEN DR, FAYETTEVILLE, NC 28304-3409
(910) 261-3251
Mailing address
207 OWEN DR, FAYETTEVILLE, NC 28304-3409
(910) 261-3251
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
C98025
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-2180011
—
NC
Enumeration date
04/05/2022
Last updated
04/05/2022
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