NPI | 1851661342 |
---|---|
Other Name | NONE NONE NONE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
Additional Taxonomies | 251S00000X |
374U00000X Home Health Aide | |
Enumeration Date | 2011-12-30 |
Last Update Date | 2023-08-24 |