| NPI | 1437878402 |
|---|---|
| Former Name | CONTRELLE DESETRA WHITE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: LA 006743468) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2022-10-31 |