Individual provider · Type 1 NPI

Marlene Pegram

Driver · North Chesterfield, VA

NPI number 1619493665 Active

Practice location

4905 Hackney Rd
North Chesterfield, VA 23234-4515

Call (804) 309-2086 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XT65483277 (VA)

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

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About NPI 1619493665

Marlene Pegram's National Provider Identifier is 1619493665, issued on Aug 21, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in North Chesterfield, VA. The record was last updated on Aug 21, 2017.