NPI | 1366723306 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OH 401289890811) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: OH 401289890811) |
Enumeration Date | 2011-09-05 |
Last Update Date | 2011-09-05 |