Individual provider · Type 1 NPI

Mario Wooden Sr.

Driver · Cordova, TN

NPI number 1306222674 Active

Practice location

2336 Meverett Cv
Cordova, TN 38016-2341

Call (901) 258-9815 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 1306222674

Mario Wooden Sr.'s National Provider Identifier is 1306222674, issued on Aug 10, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Cordova, TN. The record was last updated on Aug 21, 2015.