NPI | 1225894298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 172A00000X Driver |
251X00000X Supports Brokerage | |
Enumeration Date | 2024-02-26 |
Last Update Date | 2024-02-26 |