| NPI | 1447929708 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor, Home Modifications (Licence: CA033843) |
| Additional Taxonomies | 171W00000X Contractor (Licence: SC CA033843) |
| 171WH0202X Contractor, Home Modifications | |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |