TANTALAINE GREEN

Home Health Aide

Active Individual
NPI: 1164217139

Practice Address

5226 BRIGHTON PARK LN
Jacksonville, FL 32210

Phone: (904) 894-6843

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1164217139 is the National Provider Identifier for TANTALAINE GREEN, a Home Health Aide provider located in Jacksonville, FL. This NPI was enumerated on April 10, 2025.
TANTALAINE GREEN practices at 5226 BRIGHTON PARK LN, Jacksonville, FL 32210.

Quick Facts

NPI
1164217139
Type
Individual
Enumerated
Apr 10, 2025
Last Updated
Apr 10, 2025

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