| NPI | 1316716673 |
|---|---|
| Former Name | DEANNA MOHR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60673764) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WA RN60673764) |
| 163WH1000X Registered Nurse, Hospice (Licence: WA RN60673764) | |
| Enumeration Date | 2023-12-28 |
| Last Update Date | 2023-12-28 |