| NPI | 1417769936 |
|---|---|
| Former Name | LATRENIA DAVIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 374U00000X Home Health Aide |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |