NPI | 1285420802 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
Enumeration Date | 2025-04-18 |
Last Update Date | 2025-04-19 |