| NPI | 1275138356 |
|---|---|
| Former Name | DEBORAH DEAON CORDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV 15687960287) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: WV 15687960287) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2021-12-14 |