Mrs. Tedean Karissa Green - Detroit, MI

Mrs. Tedean Karissa Green

Student in an Organized Health Care Education/Training Program in Detroit, Michigan

NPI 1699122630

Tedean Karissa Green is a Student in an Organized Health Care Education/Training Program based in Detroit, MI. Tedean Karissa Green practices in Detroit, MI. The NPI Number for Tedean Karissa Green is 1699122630 and holds a License No. (Michigan).

The current practice location address for Tedean Karissa Green is 4201 Saint Antoine St # Uhc, Detroit, MI and can be reached out via phone at 269-924-9783.

Location: 4201 Saint Antoine St # Uhc, Detroit, MI, 48226-4578

NPI Number

1699122630

Provider Name

Tedean Karissa Green

Credential

Provider Entity Type

Individual

Gender

Female

Address

4201 Saint Antoine St # Uhc, Detroit, MI, 48226-4578

Phone Number

269-924-9783

Fax Number

Provider Enumeration Date

05/19/2016

Last Update Date

03/09/2024

Address

4201 Saint Antoine St # Uhc

City

Detroit

State

Michigan

Zip

48201-2153

Phone Number

269-924-9783

Fax Number

Address

4201 Saint Antoine St # Uhc

City

Detroit

State

Michigan

Zip

48201-2153

Phone Number

269-924-9783

Fax Number

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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