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

TaxonomyCodeLicense
Driver Primary 172A00000XT655898694600 (FL)

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

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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.