NPI | 1730359209 |
---|---|
Professional Name | JULIE MARIE PROVIDENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208D00000X General Practice (Licence: PA CW016637) |
Additional Taxonomies | 104100000X Social Worker (Licence: PA sw123375) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2013-02-28 |