| NPI | 1851693659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171WH0202X Contractor Home Modifications (Licence: VA 2705137380) |
| Additional Taxonomies | 171WH0202X Contractor Home Modifications (Licence: MD 101960) |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2010-11-30 |