Individual
MRS. VELMA R PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
171WV0202X
Vehicle Modifications Contractor
—
—
172A00000X
Driver
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
12/08/2011
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