| NPI | 1740945062 |
|---|---|
| Other Name | TINA MARIE KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: WV 1568796027) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: WV 1568796027) |
| Enumeration Date | 2021-11-02 |
| Last Update Date | 2021-12-22 |