NPI | 1043872112 |
---|---|
Former Name | CHENA TURNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IL 043069407) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2019-07-01 |