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
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | A6807770 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Other driver providers in Long Beach
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.