NPI | 1336608330 |
---|---|
Other Name | STEPHEN PERRY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 347C00000X Private Vehicle |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: GA LPN088665) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-03-18 |