| NPI | 1194021261 |
|---|---|
| Other Name | SELENA MARIE DELAGARZA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2011-02-07 |