DANIEL NICK GREEN

SHREVEPORT, LA
NPI1679547681
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy163W00000X Registered Nurse
(Licence: LA  71606)
Enumeration Date2006-02-15
Last Update Date2007-07-08
Business Address
MR. DANIEL NICK GREEN RN
9282 LYTHAM DR
SHREVEPORT, LA 71129-4834
Phone number: 318-688-5112
Mailing Address
MR. DANIEL NICK GREEN RN
9282 LYTHAM DR
SHREVEPORT, LA 71129-4834
Phone number: 318-688-5112
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