Individual
COLLETTE KENICE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2515 14TH ST NE APT 4, WASHINGTON, DC 20018-1931
(202) 489-9018
Mailing address
4407 RENA RD APT 3, SUITLAND, MD 20746-3609
(202) 489-9018
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/03/2021
Last updated
07/03/2021
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