Individual provider · Type 1 NPI

Victoria Canada

Driver · Jackson, MS

NPI number 1275361891 Active

Practice location

1030 Canada Dr
Jackson, MS 39213-9401

Call (601) 503-0080 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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About NPI 1275361891

Victoria Canada's National Provider Identifier is 1275361891, issued on Jul 24, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Jackson, MS. The record was last updated on Jul 24, 2024.