NPI | 1922805571 |
---|---|
Other Name | TYKENO DUPREE MILES |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: CA 6058246735) |
Enumeration Date | 2025-02-28 |
Last Update Date | 2025-02-28 |