| NPI | 1750826822 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: OR 15-2032) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: OR 15-2032) |
| 372600000X Adult Companion (Licence: OR 15-2032) | |
| 374U00000X Home Health Aide (Licence: OR 15-2032) | |
| 376J00000X Homemaker (Licence: OR 15-2032) | |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |