PV001
- Trang Riley (Unlicensed)
- Tim Holder
Owned by Trang Riley (Unlicensed)
Data Element | ProviderId |
---|---|
Description | Unique identifier for the provider as assigned by the reporting entity/carrier. |
Type | Text |
Format | varchar |
Length | 30 |
Threshold | 100% |
Required | Required |
Tip / Notes | |
Rank | 005 |