Individual
MBUH VERLA
Active
Individual
MBUH VERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
HHA11219
DC
374U00000X
Home Health Aide
Primary
HHA11219
DC
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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