| NPI | 1467290007 |
|---|---|
| Former Name | IDEALIA CLEVELAND-NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ D03804708) |
| Enumeration Date | 2024-07-17 |
| Last Update Date | 2024-07-17 |