Individual provider · Type 1 NPI
Crystal Braxton
Driver · Reserve, LA
NPI number
1508677717
Active
Practice location
206 W 17th St
Reserve, LA 70084-6232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 008917938 (LA) |
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 Reserve
About NPI 1508677717
Crystal Braxton's National Provider Identifier is 1508677717, issued on Jan 16, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Reserve, LA. The record was last updated on Jan 16, 2025.