Individual provider · Type 1 NPI
Tyree Vincent-Dwayne Waldon
Driver · Newport News, VA
NPI number
1457130593
Active
Practice location
1406 Independence Blvd
Newport News, VA 23608-7757
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | A61765193 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1457130593
Tyree Vincent-Dwayne Waldon's National Provider Identifier is 1457130593, issued on Sep 27, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Newport News, VA. The record was last updated on Sep 27, 2023.