| NPI | 1952102667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-03-20 |
| Last Update Date | 2025-03-20 |