| NPI | 1275478166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: CO 96998041) |
| Additional Taxonomies | 376J00000X Homemaker |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-05-08 |