SPARKLE GREEN

LAKE CITY, FL
NPI1487683074
Professional NameGOLDIE SPARKLE GREEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: FL  1181972)
Enumeration Date2006-07-03
Last Update Date2014-03-19
Business Address
Ms. SPARKLE GREEN ARNP
173 NW ALBRITTON LN
LAKE CITY, FL 32055-4451
Phone number: 386-755-4020
Mailing Address
Ms. SPARKLE GREEN ARNP
911 S MAIN ST
TRENTON, FL 32693-3239
Phone number: 352-463-2374