| NPI | 1114515178 |
|---|---|
| Other Name | LARISSA THOMAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 347E00000X Transportation Broker | |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2021-01-05 |
| Last Update Date | 2021-01-05 |