NPI | 1538591557 |
---|---|
Former Name | JAMIE LYNN VILLELLA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 247200000X Technician, Other |
Enumeration Date | 2013-08-01 |
Last Update Date | 2020-09-08 |