Individual
MRS. PAMELA SUE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2260 MAPLE DR, JACKSON, MI 49203-3623
(517) 769-4516
Mailing address
2260 MAPLE DR, JACKSON, MI 49203-3623
(517) 769-4516
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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