Courtney Green
Technician, Personal Care Attendant in Westernport, MD. Individual provider (NPI-1).
NPI number1164090858
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1164090858
- Entity type
- Individual (NPI-1)
- Name
- Courtney Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2021
- Certification date
- Jun 14, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
25706 Clayton St SwWesternport, MD 21562-1301
Mailing address
25706 Clayton St SwWesternport, MD 21562-1301
Other practice locations
25706 Clayton St Sw
Westernport, MD 21562-1301
Westernport, MD 21562-1301
Phone 240-817-8831
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All 28 Personal Care Attendant providers in Westernport · All 75 providers in Westernport
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