Individual
ISAIAH GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 968-5086
Mailing address
4000 E CHARLESTON BLVD, LAS VEGAS, NV 89104-6659
(702) 968-5086
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/22/2021
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