Individual provider · Type 1 NPI
Caryl Prunty
Driver · Modesto, CA
NPI number
1326430232
Active
Practice location
1401 Del Mar Ave
Modesto, CA 95350-4805
Mailing address
1212 N. California St.
Stockton, CA 95202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Modesto
About NPI 1326430232
Caryl Prunty's National Provider Identifier is 1326430232, issued on Mar 2, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Modesto, CA. The record was last updated on Mar 2, 2015.