Individual provider · Type 1 NPI
Reginald Gibson
Driver · Pioneer, LA
NPI number
1336681006
Active
Practice location
2839 Leggitt Xing
Pioneer, LA 71266-8319
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.
About NPI 1336681006
Reginald Gibson's National Provider Identifier is 1336681006, issued on Nov 13, 2016. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Pioneer, LA. The record was last updated on Nov 14, 2016.