Individual
DAMARLO GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
524 DESERT SENNA AVE, NORTH LAS VEGAS, NV 89030-4717
(702) 373-0545
Mailing address
524 DESERT SENNA AVE, NORTH LAS VEGAS, NV 89030-4717
(702) 373-0545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171400000X
Health & Wellness Coach
—
—
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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