Nicole L Green is a Contractor based in Loma Linda, CA. Nicole L Green practices in Loma Linda, CA. The NPI Number for Nicole L Green is 1902259328 and holds a License No. (California).
The current practice location address for Nicole L Green is 26218 Newport Ave, Loma Linda, CA and can be reached out via phone at 909-677-5111.
Location: 26218 Newport Ave, Loma Linda, CA, 92354-4120
Provider Profile Details
NPI Number
1902259328
Provider Name
Nicole L Green
Credential
Provider Entity Type
Individual
Gender
Female
Address
26218 Newport Ave, Loma Linda, CA, 92354-4120
Phone Number
909-677-5111
Fax Number
Provider Enumeration Date
07/20/2016
Last Update Date
08/17/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171W00000X | 05 | NV |
Provider Business Practice Location Address Details
Address
26218 Newport Ave
City
State
Zip
92354-4120
Phone Number
909-677-5111
Fax Number
Provider Business Mailing Address Details
Address
26218 Newport Ave
City
State
Zip
92354-4120
Phone Number
909-677-5111
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
License No.
(Nevada)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
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