NPI | 1710702840 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 374U00000X Home Health Aide |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant |
376J00000X Homemaker | |
Enumeration Date | 2024-11-22 |
Last Update Date | 2025-03-10 |