NPI | 1821182320 |
---|---|
Former Name | JACQUELINE MARQUITO CHANNELLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: NC 050671) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-08 |