NPI | 1417452590 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
Enumeration Date | 2018-03-29 |
Last Update Date | 2018-03-29 |