NPI | 1972949758 |
---|---|
Former Name | SOPHIA DENISE HOWARD THOMAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic (Licence: TX E1690783) |
Enumeration Date | 2013-05-20 |
Last Update Date | 2013-05-20 |