Individual provider · Type 1 NPI

Wennie Mae Agbale

Driver · Moore, OK

NPI number 1538048491 Active

Practice location

1309 SW 25th St
Moore, OK 73170-7558

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1538048491

Wennie Mae Agbale's National Provider Identifier is 1538048491, issued on Aug 27, 2025. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Moore, OK. The record was last updated on Sep 9, 2025.