SHANEISE GREEN

Technician - Personal Care Attendant

Active Individual
NPI: 1760982482

Practice Address

1312 AGAPE WAY
Bryan, TX 77803

Phone: (817) 818-8870

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes 34750706 (TX)

Frequently Asked Questions

NPI 1760982482 is the National Provider Identifier for SHANEISE GREEN, a Technician - Personal Care Attendant provider located in Bryan, TX. This NPI was enumerated on February 19, 2018.
SHANEISE GREEN practices at 1312 AGAPE WAY, Bryan, TX 77803.

Quick Facts

NPI
1760982482
Type
Individual
Enumerated
Feb 19, 2018
Last Updated
Feb 19, 2018

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