| NPI | 1790541597 |
|---|---|
| Former Name | ANGELA DIONNE PERYMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376J00000X Homemaker |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
| Enumeration Date | 2024-02-28 |
| Last Update Date | 2024-02-28 |