Individual
MAMIE DUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
004399
SC
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044139
NURSE LICENSED
—
01
—
3014415
WE KARE HOME CARE AGENCY
SC
05
—
3014415
—
SC
Enumeration date
09/02/2019
Last updated
10/13/2022
Update your record
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