| NPI | 1205637428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH UV054236) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: OH UV054236) |
| 172A00000X Driver (Licence: OH UV054236) | |
| 251X00000X Supports Brokerage (Licence: OH UV054236) | |
| 376J00000X Homemaker (Licence: OH UV054236) | |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |