Individual
MRS. KATHLEEN TERESA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5700 KIRKWOOD HWY, SUITE 203, WILMINGTON, DE 19808-4857
(302) 998-4168
Mailing address
1440 HOLLETTS CORNER RD, CLAYTON, DE 19938-2915
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
L20003777
DE
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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