NPI | 1235497579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: MA 3747P1801X) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: MA 374U00000X) |
376J00000X Homemaker (Licence: MA 376J00000X) | |
Enumeration Date | 2012-04-24 |
Last Update Date | 2012-04-24 |