NPI | 1689204422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 372600000X Adult Companion |
Additional Taxonomies | 3747A0650X Technician Attendant Care Provider |
3747P1801X Technician Personal Care Attendant | |
376J00000X Homemaker | |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |