NPI | 1396328506 |
---|---|
Former Name | VINDIA JACOBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 376J00000X Homemaker (Licence: FL 239519) |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2021-05-05 |
Last Update Date | 2023-08-14 |