TABATHA GREEN

DETROIT, MI
NPI1528572930
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: MI  4703109730)
Enumeration Date2017-11-21
Last Update Date2017-11-21
Business Address
TABATHA GREEN LPN
1221 EAST BRAND BLVD
DETROIT, MI 48211
Phone number: 734-458-4601
Mailing Address
TABATHA GREEN LPN
15740 COYLE ST
DETROIT, MI 48227-2623
Phone number: 313-918-9306
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