NPI | 1831761865 |
---|---|
Former Name | MARY JANE COMBS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 3747P1801X Technician Personal Care Attendant |
Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist |
Enumeration Date | 2021-07-09 |
Last Update Date | 2021-07-09 |