| NPI | 1275810400 |
|---|---|
| Former Name | JESSICA WILLIS-RIDGEWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 174H00000X Health Educator |
| 253Z00000X In Home Supportive Care | |
| 311Z00000X Custodial Care Facility | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 347C00000X Private Vehicle | |
| 376J00000X Homemaker | |
| 385HR2055X Respite Care Respite Care, Mental Illness, Child | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2022-02-04 |