| NPI | 1174058754 |
|---|---|
| Former Name | JESSICA L DEGAMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care (Licence: NY 1189762) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 1189762) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2022-02-14 |