| NPI | 1427821594 |
|---|---|
| Former Name | JANELLE LYNN CHADWICK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 172A00000X Driver (Licence: OH SL800162) |
| Enumeration Date | 2023-11-01 |
| Last Update Date | 2023-11-01 |