Individual provider · Type 1 NPI
Brandon Hargrove
Driver · Justice, IL
NPI number
1245909142
Active
Practice location
425 Sterling St E
Justice, IL 60458-1228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | H62606085086 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1245909142
Brandon Hargrove's National Provider Identifier is 1245909142, issued on Sep 13, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Justice, IL. The record was last updated on Sep 13, 2021.