NPI | 1265116750 |
---|---|
Other Name | JOJO PAKA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5018253) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024187580) |
Enumeration Date | 2023-06-14 |
Last Update Date | 2024-02-29 |