Individual provider · Type 1 NPI

Juanita Mesa Blas, MS.

Driver · Carson, CA

NPI number 1255568283 Active

Practice location

21630 S.figueroa AVE.CAARSON,CA.90745
Carson, CA 90745-2163

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X68824 (CA)

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

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About NPI 1255568283

Juanita Mesa Blas, MS.'s National Provider Identifier is 1255568283, issued on Jun 17, 2009. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Carson, CA. The record was last updated on Jun 17, 2009.