| NPI | 1568101434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 1744G0900X Specialist, Graphics Designer |
| 2472D0500X Technician, Other, Darkroom | |
| 372500000X Chore Provider | |
| 372600000X Adult Companion | |
| 3747A0650X Technician, Attendant Care Provider | |
| 3747P1801X Technician, Personal Care Attendant | |
| 374U00000X Home Health Aide | |
| 376J00000X Homemaker | |
| 171W00000X Contractor | |
| 172A00000X Driver | |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2024-04-30 |