Individual provider · Type 1 NPI

Albert Eaddy

Driver · La Mesa, CA

NPI number 1255674057 Active

Practice location

4841 Jessie Ave Apt 8
La Mesa, CA 91942-8662

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000X2012031347 (CA)

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

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About NPI 1255674057

Albert Eaddy's National Provider Identifier is 1255674057, issued on Mar 29, 2013. The primary taxonomy on file is Driver (172A00000X), and the practice location is in La Mesa, CA. The record was last updated on Mar 29, 2013.