NPI | 1780272153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 376J00000X Homemaker |
Additional Taxonomies | 172A00000X Driver |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2021-01-01 |
Last Update Date | 2021-01-01 |