MS. Theodora Mcqueen

NPI #1083008387 in Upland, California

Provider Information

NPI Number: 1083008387
Entity Type: Individual
Name: MS. Theodora Mcqueen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Mar 24, 2015
Last Updated: Mar 9, 2017

Practice Location

Address: 470 SILVERWOOD AVE APT D
City: Upland
State: California
ZIP Code: 91786-5111
Phone: (951) 800-3738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chore Provider	372500000X
Adult Companion	372600000X	Primary
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Home Health Aide	374U00000X
Homemaker	376J00000X
Nurse's Aide	376K00000X

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