Vanessa Green, | |
4370 Crestdale Ave, West Bloomfield, MI 48323-1131 | |
(248) 636-3028 | |
Not Available |
Full Name | Vanessa Green |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 4370 Crestdale Ave, West Bloomfield, Michigan |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699131128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 4703114943 (Michigan) | Primary |
Mailing Address | Practice Location Address |
---|---|
Vanessa Green, 4370 Crestdale Ave, West Bloomfield, MI 48323-1131 Ph: (248) 636-3028 | Vanessa Green, 4370 Crestdale Ave, West Bloomfield, MI 48323-1131 Ph: (248) 636-3028 |
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