| NPI | 1386141232 |
|---|---|
| Other Name | PRADEEP G SUJAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 102X00000X Poetry Therapist | |
| 104100000X Social Worker | |
| 171W00000X Contractor | |
| 172A00000X Driver | |
| 174200000X | |
| 225700000X Massage Therapist | |
| 253Z00000X In Home Supportive Care | |
| 347C00000X Private Vehicle | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |