NPI | 1053516286 |
---|---|
Other Name | RAYAR JOHNSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor (Licence: MS 790461250) |
Additional Taxonomies | 247200000X Technician, Other (Licence: MS 54276) |
347C00000X Private Vehicle | |
343900000X Non-emergency Medical Transport (VAN) | |
Enumeration Date | 2007-06-18 |
Last Update Date | 2007-07-26 |