| NPI | 1619424389 |
|---|---|
| Other Name | JOSH MIELCAREK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1501249) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN.134843.MEDS-IV) |
| 251S00000X | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |