NPI | 1578158408 |
---|---|
Former Name | JENNIFER M SERRANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.173181.MEDS-IV) |
Enumeration Date | 2021-03-03 |
Last Update Date | 2025-07-09 |