| NPI | 1952924466 |
|---|---|
| Former Name | VICTORIA FAJARDO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide (Licence: WY 26963) | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-08-12 |