Individual provider · Type 1 NPI
Breunna Ja'myrea Thomas
Driver · Champions Gate, FL
NPI number
1649980269
Active
Practice location
1443 Pro Shop Ct
Champions Gate, FL 33896-8301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1649980269
Breunna Ja'myrea Thomas's National Provider Identifier is 1649980269, issued on Dec 5, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Champions Gate, FL. The record was last updated on Dec 5, 2022.