| NPI | 1215580139 |
|---|---|
| Former Name | DOMINIQUE L JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MD 20284) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |