| NPI | 1659986651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: OH 0059041) |
| Additional Taxonomies | 376J00000X Homemaker (Licence: OH 0059041) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |