| NPI | 1104584630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: NE G74001677) |
| 3747A0650X Technician, Attendant Care Provider | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2024-12-18 |