Lavanta Green
Student in an Organized Health Care Education/Training Program in Pittsburg, CA. Individual provider (NPI-1).
NPI number1164091740
StatusActive
Last updated in NPPESJun 18, 2021
Details
- NPI
- 1164091740
- Entity type
- Individual (NPI-1)
- Name
- Lavanta Green
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 18, 2021
- Certification date
- Jun 18, 2021
- Last updated
- Jun 18, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | CA | Yes |
Practice location
51 Marina BlvdPittsburg, CA 94565-2068
Phone 925-252-1111
Mailing address
5000 Woodmont WayAntioch, CA 94531-8142
Phone 925-778-9498 · Fax 925-778-9498
Other practice locations
1266 14th St
Oakland, CA 94607-2247
Oakland, CA 94607-2247
Phone 510-882-7791 · Fax 510-531-0258
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All 21 Student in an Organized Health Care Education/Training Program providers in Pittsburg · All 771 providers in Pittsburg
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