| NPI | 1588472575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NE 33337752-NE) |
| Additional Taxonomies | 253Z00000X In Home Supportive Care (Licence: NE 33337752-NE) |
| Enumeration Date | 2024-12-21 |
| Last Update Date | 2024-12-21 |