Individual provider · Type 1 NPI

Serenity Green

Student in an Organized Health Care Education/Training Program · San Diego, CA

NPI number 1063276038 Active

Practice location

10065 Old Grove Rd Ste 102
San Diego, CA 92131-1664

Call (619) 858-5479 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1063276038

Serenity Green's National Provider Identifier is 1063276038, issued on Feb 9, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Diego, CA. The record was last updated on Feb 9, 2024.