Individual provider · Type 1 NPI
Carmalita R. Gendraw
Driver · Willoughby, OH
NPI number
1699437772
Active
Practice location
38360 Tamarac Blvd Apt 101
Willoughby, OH 44094-8115
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | RU778241 (OH) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
Another provider at this address
Other driver providers in Willoughby
About NPI 1699437772
Carmalita R. Gendraw's National Provider Identifier is 1699437772, issued on Oct 6, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Willoughby, OH. The record was last updated on Apr 29, 2025.