Individual provider · Type 1 NPI
Heaven Kubrom
Driver · La Mesa, CA
NPI number
1669175477
Active
Practice location
7918 El Cajon Blvd Ste N402
La Mesa, CA 91942-6719
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.
Other driver providers in La Mesa
About NPI 1669175477
Heaven Kubrom's National Provider Identifier is 1669175477, issued on Mar 22, 2023. The primary taxonomy on file is Driver (172A00000X), and the practice location is in La Mesa, CA. The record was last updated on Mar 22, 2023.