Individual
ANNETTE GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4021 NIGHT HERON CT, APT A, WALDORF, MD 20603-4675
(240) 419-9337
Mailing address
4021 NIGHT HERON CT, APT A, WALDORF, MD 20603-4675
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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