NPI | 1669675617 |
---|---|
Former Name | MARJORIE ANN HILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CA MFC 16952) |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: CA RN 224379) |
302R00000X Health Maintenance Organization (Licence: CA CNS) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2007-07-08 |