Individual provider · Type 1 NPI

Eddie Ralph Grijalva

Driver · Bakersfield, CA

NPI number 1013687722 Active

Practice location

1412 17th St
Bakersfield, CA 93301-5211

Call (661) 293-5426 Map

Mailing address

1412 17th St Ste 357
Bakersfield, CA 93301-5211

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XE3407560 (CA)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

4 other providers at this address

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About NPI 1013687722

Eddie Ralph Grijalva's National Provider Identifier is 1013687722, issued on Sep 14, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Bakersfield, CA. The record was last updated on Sep 14, 2021.