Individual provider · NPI-1
Tirzah Green
Technician, Attendant Care Provider · Glendale, AZ
NPI number1992516884
StatusActive
Last updated in NPPESJan 18, 2025
Details
- NPI
- 1992516884
- Entity type
- Individual (NPI-1)
- Name
- Tirzah Green
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2025
- Certification date
- Jan 18, 2025
- Last updated
- Jan 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
9012 W Bethany Heights DrGlendale, AZ 85305-2016
Phone 602-900-3892
Mailing address
9012 W Bethany Heights DrGlendale, AZ 85305-2016
Phone 602-900-3892
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