AMANDA RENEE GREEN

LEWISBURG, TN
NPI1184997173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: TN  0000077037)
Enumeration Date2012-02-22
Last Update Date2012-02-22
Business Address
Mrs. AMANDA RENEE GREEN LPN
206 LEGION AVE
LEWISBURG, TN 37091-2898
Phone number: 931-359-1551
Mailing Address
Mrs. AMANDA RENEE GREEN LPN
206 LEGION AVE
LEWISBURG, TN 37091-2898
Phone number: 931-359-1551