Individual
MR. WHITNEY VERDIEU LA ROCHE
Active
Individual
MR. WHITNEY VERDIEU LA ROCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.M.,C.A.G.S.,
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3747P1801X
MA
374U00000X
Home Health Aide
374U00000X
MA
376J00000X
Homemaker
376J00000X
MA
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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