Individual
KATINA DRIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 LEE ROAD 2193, CUSSETA, AL 36852-2827
(334) 332-3845
Mailing address
2 LEE ROAD 2193, CUSSETA, AL 36852-2827
(334) 332-3845
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
Primary
—
AL
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/25/2016
Last updated
04/25/2016
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