Individual provider · Type 1 NPI

Tandy Luv Corrales

Driver · Hesperia, CA

NPI number 1487378907 Active

Practice location

17096 Sequoia St Ste 116
Hesperia, CA 92345-1411

Fax (760) 888-3575

Mailing address

16808 Main Street Suite D Box 345
Hesperia, CA 92345

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 1487378907

Tandy Luv Corrales's National Provider Identifier is 1487378907, issued on Sep 28, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Hesperia, CA. The record was last updated on Sep 28, 2022.