Individual provider · Type 1 NPI

Maria Elizabeth Pascual Carrillo

Driver · West Covina, CA

NPI number 1104413020 Active

Practice location

2581 E Temple Ave
West Covina, CA 91792-1890

Mailing address

2581 E Temple Ave Apt E
West Covina, CA 91792-1890

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XY6620389 (CA)

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

About NPI 1104413020

Maria Elizabeth Pascual Carrillo's National Provider Identifier is 1104413020, issued on Dec 26, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in West Covina, CA. The record was last updated on Dec 26, 2020.