| NPI | 1770274912 |
|---|---|
| Professional Name | STEPHANIE DORKQUITTA BOSEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 251E00000X Home Health (Licence: DC No) |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |