Individual
SHANNON GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
821 N MAIN RD APT 45A, VINELAND, NJ 08360-8219
(800) 950-6066
Mailing address
821 N MAIN RD APT 45A, VINELAND, NJ 08360-8219
(800) 950-6066
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06040200
NJ
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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