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Latesha Green
NPI 1972239127 · on the registry since 2022 · sole proprietor
Practice
- Address
- 3409 Dominion Green Dr
Charlotte, NC 28269 - Phone
- (704) 906-4522
Registry record
- Primary taxonomy
- 320600000X
320600000X
- Also registered as
- 261QD1600X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-29
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 North Carolina