| NPI | 1598590556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: ND DEDEB) |
| 253J00000X Foster Care Agency | |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2026-07-31 |