NPI | 1649009127 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 3747A0650X Technician, Attendant Care Provider |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2024-07-31 |
Last Update Date | 2025-01-19 |