Individual provider · Type 1 NPI

Mark Jorell Larracas

Driver · Litchfield Park, AZ

NPI number 1386464246 Active

Practice location

14704 W Pasadena Ave
Litchfield Park, AZ 85340-2823

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 1386464246

Mark Jorell Larracas's National Provider Identifier is 1386464246, issued on Oct 15, 2024. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Litchfield Park, AZ. The record was last updated on Oct 15, 2024.