Green, Tashunda Latrese

Green, Tashunda Latrese is an sole proprietor health care provider with primary practice located at 17830 Larkspur Ln , Homewood IL 60430-1131. She recently has only one registered license in Nursing Service Providers / Neonatal Intensive Care, which is considered as her primary health care specialty. Green, Tashunda Latrese can be contacted via phone (708) 799-6740.

Contact Information

Primary practice address
17830 Larkspur Ln Homewood IL 60430-1131
Phone: (708) 799-6740
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 041310372 Illinois

Profile Details

NPI number 1881853992
LBN Legal business name Green, Tashunda Latrese
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 4th, 2008
Last updated Jun 4th, 2008 - about 17 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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