Individual provider · Type 1 NPI
Tamelra Powell
Driver · Montgomery, IL
NPI number
1356763973
Active
Practice location
2352 Riva Ridge Rd
Montgomery, IL 60538-3407
Fax (630) 966-2010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 462608967 (IL) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Montgomery
About NPI 1356763973
Tamelra Powell's National Provider Identifier is 1356763973, issued on Jan 16, 2014. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Montgomery, IL. The record was last updated on Jan 16, 2014.