Greene, Crystal Latasha

Greene, Crystal Latasha is an sole proprietor health care provider with primary practice located at 5030 W Mountain St Apt 18 , Stone Mountain GA 30083-2845. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Greene, Crystal Latasha can be contacted via phone (678) 334-4914.

Contact Information

Primary practice address
5030 W Mountain St Apt 18 Stone Mountain GA 30083-2845
Phone: (678) 334-4914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Nurse's Aide 376K00000X CN0014183784 Georgia

Profile Details

NPI number 1417610387
LBN Legal business name Greene, Crystal Latasha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2021
Last updated Oct 18th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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