Individual provider · Type 1 NPI
Ivan Johnson
Driver · Fresno, CA
NPI number
1245050277
Active
Practice location
PO Box 9212
Fresno, CA 93791-9212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 462930 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1245050277
Ivan Johnson's National Provider Identifier is 1245050277, issued on Oct 15, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fresno, CA. The record was last updated on Oct 15, 2024.