NPI | 1851823959 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 171WH0202X Contractor, Home Modifications |
Additional Taxonomies | 171WV0202X Contractor, Vehicle Modifications |
171W00000X Contractor | |
Enumeration Date | 2017-03-29 |
Last Update Date | 2022-07-21 |