IndividualActive
Donald Green
NPI 1083479521 · Supports Brokerage Agency · Washington, DC
Provider details
- NPI number
- 1083479521
- Entity type
- Individual
- Primary specialty
- Supports Brokerage AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
- License
- 3002490726 (DC)
Specialties & taxonomies
Agencies
Practice location
100 M St Se Ste 674
Washington, DC 20003-3519
Phone: (240) 432-5234
Approximate (ZIP-level) locationGet directions
Mailing address
100 M St Se Ste 674
Washington, DC 20003-3519
Registry dates
- Enumerated
- 2024-02-14
- Last updated
- 2024-02-14
- Certified
- 2024-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.