NPI | 1952134728 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 347C00000X Private Vehicle |
Additional Taxonomies | 376J00000X Homemaker |
172A00000X Driver | |
343900000X Non-emergency Medical Transport (VAN) | |
3747P1801X Technician, Personal Care Attendant | |
Enumeration Date | 2024-08-26 |
Last Update Date | 2024-08-26 |