NPI | 1467961615 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA13087) |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2017-09-20 |
Last Update Date | 2024-05-08 |