| NPI | 1508240565 |
|---|---|
| Other Name | STACY LEN WHETZELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion (Licence: TN 1000000016408) |
| Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: TN 1000000016408) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-19 |