NPI | 1801584388 |
---|---|
Professional Name | PASCAL ROQUE JOHNSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 106S00000X Behavior Technician |
Enumeration Date | 2023-04-24 |
Last Update Date | 2024-12-19 |