Individual provider · Type 1 NPI

Rose Lee Shaddon, TAXI

Driver · Russellville, AR

NPI number 1235833302 Active

Practice location

705 Williamson Way
Russellville, AR 72801-6923

Call (479) 280-2132 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X0421-016067 (AR)

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

About NPI 1235833302

Rose Lee Shaddon, TAXI's National Provider Identifier is 1235833302, issued on Mar 30, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Russellville, AR. The record was last updated on Mar 30, 2023.