Individual
RIEKETTA DANYELLE WILLIS
Active
Individual
RIEKETTA DANYELLE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
20-015099-1
IN
3747P1801X
Personal Care Attendant
20-015099-1
IN
374U00000X
Home Health Aide
20-015099-1
IN
376J00000X
Homemaker
20-015099-1
IN
Other
Enumeration date
02/17/2021
Last updated
02/17/2021
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