NPI | 1720408685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 372600000X Adult Companion (Licence: CA 892204) |
Additional Taxonomies | 3747P1801X Technician Personal Care Attendant (Licence: CA 892204) |
376K00000X Nurse's Aide (Licence: CA 892204) | |
Enumeration Date | 2014-04-18 |
Last Update Date | 2014-04-18 |