NPI | 1396477741 |
---|---|
Former Name | LILY VALENTINA DEPUY-HARRIS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 374U00000X Home Health Aide |
Additional Taxonomies | 175T00000X Peer Specialist |
Enumeration Date | 2022-06-25 |
Last Update Date | 2024-03-24 |