| NPI | 1013508027 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications |
| 376K00000X Nurse's Aide | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |