Willie James Green
Technician, Personal Care Attendant in Memphis, TN. Individual provider (NPI-1).
NPI number1699409490
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1699409490
- Entity type
- Individual (NPI-1)
- Name
- Willie James Green
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1825 Felix AveMemphis, TN 38114-1714
Phone 901-832-2011
Mailing address
1825 Felix AveMemphis, TN 38114-1714
Phone 901-832-2011
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