| NPI | 1205631058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372500000X Chore Provider |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NE 24027) |
| 372600000X Adult Companion | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |