| NPI | 1588162341 |
|---|---|
| Professional Name | QUEEN QUETTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: FL 131219) |
| Additional Taxonomies | 2470A2800X Technician, Health Information, Assistant Record Technician |
| 2472R0900X Technician, Other, Renal Dialysis | |
| 372600000X Adult Companion (Licence: FL 131219) | |
| 374U00000X Home Health Aide | |
| 376K00000X Nurse's Aide (Licence: FL 1311219) | |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-01-26 |