Individual provider · Type 1 NPI

Waylon Anthony Jaime

Driver · Los Angeles, CA

NPI number 1619635000 Active

Practice location

5849 Crocker St
Los Angeles, CA 90003-1311

Call (323) 432-4399 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XE3080207 (CA)

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

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About NPI 1619635000

Waylon Anthony Jaime's National Provider Identifier is 1619635000, issued on Dec 2, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 2, 2021.