Individual provider · Type 1 NPI
Terrance Devorea Johnson
Driver · Anaheim, CA
NPI number
1265116396
Active
Practice location
911 E Mason Ln Unit 13
Anaheim, CA 92805-6404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | D3912551 (CA) |
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 Anaheim
About NPI 1265116396
Terrance Devorea Johnson's National Provider Identifier is 1265116396, issued on Jun 9, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Anaheim, CA. The record was last updated on Jun 12, 2023.