Individual provider · Type 1 NPI
Johnathan Tejada
Driver · Secaucus, NJ
NPI number
1194439570
Active
Practice location
3242 Riverside Station Blvd # 3242
Secaucus, NJ 07094-4432
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | T230433840100 (FL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Secaucus
About NPI 1194439570
Johnathan Tejada's National Provider Identifier is 1194439570, issued on Jan 10, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Secaucus, NJ. The record was last updated on Jan 10, 2023.