Individual
REOSHANE ASHELLE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 S 4TH ST, LOUISVILLE, KY 40203-3205
(502) 585-9911
Mailing address
5549 BAYSHORE CT, LOUISVILLE, KY 40258-4401
(502) 309-8250
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
KY
Other
Enumeration date
03/17/2021
Last updated
03/17/2021
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