| NPI | 1013738764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: TX 023233) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-02-05 |