NPI | 1790225514 |
---|---|
Former Name | JESSICA PENA SANTILLAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2017-02-27 |
Last Update Date | 2023-07-05 |