NPI | 1255619342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide |
Additional Taxonomies | 372500000X Chore Provider |
372600000X Adult Companion | |
376J00000X Homemaker | |
Enumeration Date | 2011-07-24 |
Last Update Date | 2024-04-20 |