Individual provider · Type 1 NPI

Derrick Lashawn Sandles

Driver · Milwaukee, WI

NPI number 1124825682 Active

Practice location

9218 N 60th St
Milwaukee, WI 53223-1502

Call (262) 349-6839 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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About NPI 1124825682

Derrick Lashawn Sandles's National Provider Identifier is 1124825682, issued on Mar 3, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 3, 2025.