| Tabatha Green, LPN | |
|
1221 East Brand Blvd, Detroit, MI 48211 | |
| (734) 458-4601 | |
| Not Available |
| Full Name | Tabatha Green |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 1221 East Brand Blvd, Detroit, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528572930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703109730 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tabatha Green, LPN 15740 Coyle St, Detroit, MI 48227-2623 Ph: (313) 918-9306 | Tabatha Green, LPN 1221 East Brand Blvd, Detroit, MI 48211 Ph: (734) 458-4601 |
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