| NPI | 1386219566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA 191092) |
| Additional Taxonomies | 146M00000X Emergency Medical Technician, Intermediate (Licence: A2038449) |
| 171400000X Health & Wellness Coach | |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2021-05-20 |