| NPI | 1598564544 |
|---|---|
| Former Name | JERRY JAMES ORR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2025-03-12 |
| Last Update Date | 2025-03-12 |