NPI | 1134888050 |
---|---|
Former Name | VONITA MICHELLE WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: TN 72791070) |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-08 |