Individual
MRS. TELISA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4260 N 89TH ST, MILWAUKEE, WI 53222-1759
(262) 794-1586
Mailing address
4260 N 89TH ST, MILWAUKEE, WI 53222-1759
(414) 982-7213
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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