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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | Y6620389 (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.