NPI | 1154084994 |
---|---|
Former Name | REGINA DENISE NIXON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2021-10-19 |
Last Update Date | 2024-02-06 |