Individual
MRS. ATHENA KATHLEEN GREENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD STE 240, PLYMOUTH MEETING, PA 19462-2225
(302) 781-4251
Mailing address
14304 JEFFRIES RD APT 705, WOODBRIDGE, VA 22191-2722
(443) 600-8757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002082087
VA
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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