SearchMichigan374J00000X

Khalifah Green

NPI 1215633318 · on the registry since 2023 · sole proprietor

Practice

Address
14335 Mansfield St
Detroit, MI 48227
Phone
(313) 478-4419

Registry record

Primary taxonomy
374J00000X
374J00000X
Sex
Female
Record last updated
2023-02-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan