Individual provider · Type 1 NPI
Clifton White Jr.
Driver · Severn, MD
NPI number
1053838847
Active
Practice location
1361 Jamestowne Dr
Severn, MD 21144-2724
Fax (240) 765-6336
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | W-300-119-009-336 (MD) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1053838847
Clifton White Jr.'s National Provider Identifier is 1053838847, issued on Aug 23, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Severn, MD. The record was last updated on Jul 21, 2022.