NPI | 1326869538 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171W00000X Contractor |
Additional Taxonomies | 106S00000X Behavior Technician |
253Z00000X In Home Supportive Care | |
374700000X Technician | |
Enumeration Date | 2024-10-21 |
Last Update Date | 2024-10-21 |