| 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 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-09-08 |