NPI | 1649786922 |
---|---|
Professional Name | IEASHIA GREEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: MI 4703118007) |
Enumeration Date | 2017-12-21 |
Last Update Date | 2017-12-21 |