NPI | 1841699295 |
---|---|
Other Name | TONIA LYNN MARINE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: TX 217206) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN087067) |
Enumeration Date | 2014-08-21 |
Last Update Date | 2014-08-21 |