NPI | 1477248631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician Personal Care Attendant (Licence: NV 3747P1801X) |
Additional Taxonomies | 3747P1801X Technician Personal Care Attendant |
Enumeration Date | 2023-04-05 |
Last Update Date | 2023-04-05 |