Individual provider · Type 1 NPI

Petra Agu

Driver · Long Beach, CA

NPI number 1629518154 Active

Practice location

1959 Chestnut Ave Apt 305
Long Beach, CA 90806-6611

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XA6807770 (CA)

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

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About NPI 1629518154

Petra Agu's National Provider Identifier is 1629518154, issued on Mar 2, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Long Beach, CA. The record was last updated on Mar 2, 2017.