TANTALAINE M GREEN

JACKSONVILLE, FL
NPI1164217139
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies374U00000X Home Health Aide
(Licence: FL  374U00000X)
Enumeration Date2025-04-10
Last Update Date2025-04-10
Business Address
TANTALAINE M GREEN
5226 BRIGHTON PARK LN
JACKSONVILLE, FL 32210-9260
Phone number: 904-894-6843
Mailing Address
TANTALAINE M GREEN
5226 BRIGHTON PARK LN
JACKSONVILLE, FL 32210-9260
Phone number: 904-894-6843
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