NPI | 1902491905 |
---|---|
Other Name | CHANTIL GOREE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172A00000X Driver (Licence: TX 16397786) |
Additional Taxonomies | 343800000X Secured Medical Transport (VAN) (Licence: TX 16397786) |
347C00000X Private Vehicle (Licence: TX 16397786) | |
Enumeration Date | 2021-03-02 |
Last Update Date | 2021-03-02 |