NPI | 1922724715 |
---|---|
Professional Name | DOYOSOW LUCKETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374K00000X |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
Enumeration Date | 2022-10-13 |
Last Update Date | 2022-11-16 |