NPI | 1750886677 |
---|---|
Former Name | LEIGH ANN TUSSING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: IN CNA0501192) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: IN HHA0500532) |
376J00000X Homemaker | |
Enumeration Date | 2018-03-25 |
Last Update Date | 2018-03-25 |