Lavanta Green
Lavanta Green is a Student in an Organized Health Care Education/Training Program in Pittsburg, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2021
Practice location Address checks out
Pittsburg, CANo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1266 14th St, Oakland, CA 94607-2247 — (510) 882-7791
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X (CA) |
|---|
Record details
| NPI number | 1164091740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2021 |
| Last updated in NPPES | June 18, 2021 |
| Certification date | June 18, 2021 |
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