MIA GREEN

LAURELTON, NY
NPI1003167776
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  307675-1)
Enumeration Date2012-09-21
Last Update Date2012-09-21
Business Address
-- MIA GREEN
13053 225TH ST
LAURELTON, NY 11413-1228
Phone number: 718-525-1420
Mailing Address
-- MIA GREEN
13053 225TH ST
LAURELTON, NY 11413-1228
Phone number:
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