NPI | 1194178780 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: WA 1831957026) |
Additional Taxonomies | 172A00000X Driver (Licence: WA WDL77143J53B) |
106S00000X Behavior Technician | |
207Q00000X Family Medicine (Licence: WA 1194178780) | |
246RP1900X Technician, Pathology, Phlebotomy (Licence: WA PC60777046) | |
247200000X Technician, Other (Licence: WA MR60846454) | |
251J00000X Nursing Care (Licence: NM NM0049261107E) | |
374U00000X Home Health Aide | |
Enumeration Date | 2016-07-19 |
Last Update Date | 2024-11-11 |