SearchFlorida376K00000X

Kawanza Green

NPI 1396461604 · on the registry since 2022 · sole proprietor

Practice

Address
3022 Guava St
Fort Myers, FL 33916
Phone
(239) 295-1803
Fax
(239) 939-7731
Organisation at this address
Family Tree Agency Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-10-18

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 Florida