Individual provider · Type 1 NPI

Mariceta Ann Govan

Driver · Milwaukee, WI

NPI number 1689327314 Active

Practice location

333 W Brown Deer Rd # 507
Milwaukee, WI 53217-2372

Mailing address

333 West Brown Deer Rd, SUITEG-507
Milwaukee, WI 53217

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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About NPI 1689327314

Mariceta Ann Govan's National Provider Identifier is 1689327314, issued on Feb 2, 2022. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 2, 2022.