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Nicole M Green
Student in an Organized Health Care Education/Training Program in Antioch, California
NPI 1689359762

Nicole M Green is a Student in an Organized Health Care Education/Training Program based in San Francisco, CA. Nicole M Green practices in Antioch, CA. The NPI Number for Nicole M Green is 1689359762 and holds a License No. (California).

The current practice location address for Nicole M Green is 5119 Lone Tree Way, Antioch, CA and can be reached out via phone at 925-335-1022.

Location: 5119 Lone Tree Way, Antioch, CA, 94103-2543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689359762
Provider Name
Nicole M Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
5119 Lone Tree Way, Antioch, CA, 94103-2543
Phone Number
925-335-1022
Fax Number
Provider Enumeration Date
06/16/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5119 Lone Tree Way
City
Antioch
State
California
Zip
94531-8484
Phone Number
925-335-1022
Fax Number
person
Provider Business Mailing Address Details
Address
5119 Lone Tree Way
City
Antioch
State
California
Zip
94531-8484
Phone Number
925-335-1022
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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