NPI | 1063096550 |
---|---|
Other Name | JEREMY ALEXANDER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-05-10 |
Last Update Date | 2024-04-11 |