| NPI | 1568237303 |
|---|---|
| Former Name | CORINA ROSE MESA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: WA NC60994786) |
| Additional Taxonomies | 202K00000X (Licence: WA PC61118872) |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |