Individual provider · Type 1 NPI
Wallace Tranum Jr.
Driver · Deltona, FL
NPI number
1265075865
Active
Practice location
415 Golden Arm Rd
Deltona, FL 32738-8653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | T655898694600 (FL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Deltona
About NPI 1265075865
Wallace Tranum Jr.'s National Provider Identifier is 1265075865, issued on Oct 26, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Deltona, FL. The record was last updated on Oct 26, 2019.