Individual provider · Type 1 NPI

Antionette Ruby Coates

Driver · Blaine, MN

NPI number 1306615729 Active

Practice location

9912 Fillmore St NE
Blaine, MN 55434-3533

Call (612) 296-1991 Map

Specialties and licenses

TaxonomyCodeLicense
Driver 172A00000XM103113024104 (MN)
Driver Primary 172A00000XM10311302104 (MN)

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

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About NPI 1306615729

Antionette Ruby Coates's National Provider Identifier is 1306615729, issued on Dec 27, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Blaine, MN. The record was last updated on Dec 27, 2023.