| NPI | 1679810998 |
|---|---|
| Former Name | DEBORAH TOLLEFSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: AZ CNA174163103) |
| Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider (Licence: AZ CNA174163103) |
| 3747P1801X Technician, Personal Care Attendant (Licence: AZ CNA174163103) | |
| 374U00000X Home Health Aide (Licence: AZ CNA174163103) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |