| NPI | 1396385753 |
|---|---|
| Former Name | CLEVELAND MARK AUZENNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 007667939) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |