NPI | 1861178170 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172A00000X Driver (Licence: OH TN391370) |
Additional Taxonomies | 3747P1801X Technician, Personal Care Attendant (Licence: OH TN391370) |
Enumeration Date | 2023-06-22 |
Last Update Date | 2023-06-22 |