NPI | 1154667756 |
---|---|
Former Name | LIAH FERDELIZ MENDOZA DE JESUS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WH0200X Registered Nurse, Home Health (Licence: CA RN767070) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN767070) |
163WC0400X Registered Nurse, Case Management (Licence: CA RN767070) | |
163WR0400X Registered Nurse, Rehabilitation (Licence: CA RN767070) | |
Enumeration Date | 2012-12-31 |
Last Update Date | 2012-12-31 |