Individual provider · Type 1 NPI
Leslie Johnson
Driver · Peoria, AZ
NPI number
1417629700
Active
Practice location
10852 W Bronco Trl
Peoria, AZ 85383-5777
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 Peoria
About NPI 1417629700
Leslie Johnson's National Provider Identifier is 1417629700, issued on Oct 4, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Peoria, AZ. The record was last updated on Oct 4, 2021.