Individual provider · Type 1 NPI
Tyler James Anderson
Driver · Anza, CA
NPI number
1700357845
Active
Practice location
39100 Contreras Rd Ste D
Anza, CA 92539-8724
Fax (951) 763-0495
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 1700357845
Tyler James Anderson's National Provider Identifier is 1700357845, issued on Dec 16, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Anza, CA. The record was last updated on Dec 16, 2018.