| NPI | 1356769558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: TN 00124952) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: TN 00124952) |
| 374U00000X Home Health Aide (Licence: TN 00124952) | |
| 376J00000X Homemaker | |
| 376K00000X Nurse's Aide (Licence: TN 00124952) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |