NPI | 1033530670 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC 605752) |
374U00000X Home Health Aide (Licence: DC HHA10212) | |
Enumeration Date | 2013-12-29 |
Last Update Date | 2023-05-22 |