NPI | 1124701859 |
---|---|
Former Name | SHUNIQUA THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
Enumeration Date | 2023-08-09 |
Last Update Date | 2023-08-09 |