NPI | 1013584663 |
---|---|
Former Name | VEORNA NICHOLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 1535401) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
Enumeration Date | 2021-06-10 |
Last Update Date | 2021-06-10 |