| NPI | 1942868872 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: NV 7743PCS) |
| Additional Taxonomies | 372500000X Chore Provider (Licence: NV 7743PCS) |
| 372600000X Adult Companion (Licence: NV 7743PCS) | |
| 3747A0650X Technician, Attendant Care Provider (Licence: NV 7743PCS) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2019-06-05 |