| NPI | 1023876992 |
|---|---|
| Other Name | ERIC BASILE PETDAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172A00000X Driver (Licence: TN 142504456) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: TN 00224039) |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |