NPI | 1437619228 |
---|---|
Former Name | ATRIANNE NOBERT OLAZO TRASMONTE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: CA 95105226) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95105226) |
Enumeration Date | 2019-03-20 |
Last Update Date | 2019-04-19 |