| NPI | 1245591411 |
|---|---|
| Former Name | SKYYDO C MBAZANG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-07-20 |