Individual
MS. TAMITHA GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3202 W BELL RD, PHOENIX, AZ 85053-7507
(623) 518-7728
Mailing address
3202 W BELL RD, PHOENIX, AZ 85053-7507
(623) 518-7728
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
04/20/2020
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