Katina Driver
Homemaker in Cusseta, AL. Individual provider (NPI-1).
NPI number1154776441
StatusActive
Last updated in NPPESApr 25, 2016
Details
- NPI
- 1154776441
- Entity type
- Individual (NPI-1)
- Name
- Katina Driver
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2016
- Last updated
- Apr 25, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376J00000X | Homemaker | – | AL | Yes |
| 372600000X | Adult Companion | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Practice location
2 Lee Road 2193Cusseta, AL 36852-2827
Phone 334-332-3845
Mailing address
2 Lee Road 2193Cusseta, AL 36852-2827
Phone 334-332-3845
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