NPI | 1821436288 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 374U00000X Home Health Aide (Licence: DC 4645) |
Additional Taxonomies | 376K00000X Nurse's Aide (Licence: DC 4645) |
Enumeration Date | 2013-06-07 |
Last Update Date | 2013-06-07 |