NPI | 1558857060 |
---|---|
Former Name | QUANTINA LOUISE THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Additional Taxonomies | 374U00000X Home Health Aide |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-07-09 |