Marcus Jermaine Green
Marcus Jermaine Green is a Developmentally Disabled Services Day Training Agency in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
1544 W 25th StJacksonville, FL 32209-4282
Phone: (904) 616-2764
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X |
|---|
Record details
| NPI number | 1932848025 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 27, 2022 |
| Last updated in NPPES | May 27, 2022 |
| Certification date | May 27, 2022 |
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