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

TaxonomyCodeLicense
Driver Primary 172A00000XNone 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.