| NPI | 1619618600 |
|---|---|
| Other Name | JOSE ANTONIO TAVARES DOS ANJOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MA RN2304675) |
| Additional Taxonomies | 227900000X Respiratory Therapist, Registered (Licence: MA RT10198) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |