NPI | 1508168881 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CA 00513523) |
Additional Taxonomies | 374U00000X Home Health Aide (Licence: CA 00157264) |
Enumeration Date | 2010-11-19 |
Last Update Date | 2010-11-19 |