NPI | 1598467839 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
Additional Taxonomies | 172A00000X Driver |
376J00000X Homemaker | |
Enumeration Date | 2023-03-20 |
Last Update Date | 2023-03-20 |