| NPI | 1649720822 |
|---|---|
| Other Name | MAISIE CREELMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: NM 3597) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NM 377103) |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |