| NPI | 1255947016 |
|---|---|
| Other Name | THERESA IRENE MYADZE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-18 |