Individual
MISS THOMEKA T HEAGS
Active
Individual
MISS THOMEKA T HEAGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, PCT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
MI
164X00000X
Licensed Vocational Nurse
Primary
230251200698
MI
172A00000X
Driver
—
MI
372500000X
Chore Provider
—
MI
3747A0650X
Attendant Care Provider
—
MI
3747P1801X
Personal Care Attendant
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881838944
ALL MEDICAL
MI
05
—
1881838944
—
MI
Enumeration date
04/20/2009
Last updated
04/01/2019
Update your record
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