KANISHA RENEE GREEN

SACRAMENTO, CA
NPI1609271303
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
(Licence: CA  MPSS-MWBXCL)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
172V00000X Community Health Worker
Enumeration Date2014-10-24
Last Update Date2023-07-18
Business Address
KANISHA RENEE GREEN
3840 ROSIN CT
SACRAMENTO, CA 95834-1639
Phone number: 916-230-2748
Mailing Address
KANISHA RENEE GREEN
3840 ROSIN CT
SACRAMENTO, CA 95834-1639
Phone number: 916-230-2748