Individual provider · Type 1 NPI
Joe Otero
Driver · Pleasant Grove, UT
NPI number
1093164576
Active
Practice location
610 Mohican Ln
Pleasant Grove, UT 84062-3213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 214682882 (UT) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1093164576
Joe Otero's National Provider Identifier is 1093164576, issued on Jun 6, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Pleasant Grove, UT. The record was last updated on Jun 6, 2016.