| NPI | 1700152733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225700000X Massage Therapist (Licence: WA MA60168537) | |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2023-11-17 |