| NPI | 1528317278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374U00000X Home Health Aide (Licence: NM 1T3412) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM 1T3412) |
| 163WA2000X Registered Nurse, Administrator (Licence: NM 1T3412) | |
| 163WC0400X Registered Nurse, Case Management (Licence: NM 1T3412) | |
| 163WH0200X Registered Nurse, Home Health (Licence: NM 1T3412) | |
| 164W00000X Licensed Practical Nurse (Licence: NM 1T3412) | |
| 372500000X Chore Provider (Licence: NM 1T3412) | |
| 372600000X Adult Companion (Licence: NM 1T3412) | |
| 3747P1801X Technician, Personal Care Attendant (Licence: NM 1T3412) | |
| 376J00000X Homemaker (Licence: NM 1T3412) | |
| 376K00000X Nurse's Aide (Licence: NM 1T3412) | |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |