Individual provider · Type 1 NPI
Mamun Dewan
Driver · Glendale, AZ
NPI number
1063195071
Active
Practice location
6014 N 67th Ave
Glendale, AZ 85301-4902
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 347741107 (NY) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Glendale
About NPI 1063195071
Mamun Dewan's National Provider Identifier is 1063195071, issued on Aug 8, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Glendale, AZ. The record was last updated on Aug 8, 2023.