Individual provider · Type 1 NPI
Jenesis Samuels
Driver · Fairmont, WV
NPI number
1396340741
Active
Practice location
200 Braddock St
Fairmont, WV 26554-2208
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.
Another provider at this address
Other driver providers in Fairmont
About NPI 1396340741
Jenesis Samuels's National Provider Identifier is 1396340741, issued on Dec 3, 2020. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Fairmont, WV. The record was last updated on Dec 3, 2020.