| NPI | 1952180580 |
|---|---|
| Other Name | EDSIL BANDUYANG LIWAG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251E00000X Home Health (Licence: CA 370804527) |
| Additional Taxonomies | 251E00000X Home Health (Licence: CA 6002863740) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-09-25 |