Individual
KIMBERLEY YVETTE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
3245000000X
OH
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
Update your record
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