NPI | 1568860559 |
---|---|
Former Name | JAMEY RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 95133652) |
Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: CA VN280257) |
Enumeration Date | 2014-12-08 |
Last Update Date | 2022-07-21 |