NPI | 1720491517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC HHA10570) |
Additional Taxonomies | 376J00000X Homemaker (Licence: DC HHA10570) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2014-06-09 |