Individual provider · Type 1 NPI
Koku Adela
Driver · Gaithersburg, MD
NPI number
1710375589
Active
Practice location
20440 Meadow Pond Pl
Gaithersburg, MD 20886-1130
Mailing address
20440 Meadow Pond Place
Gaithersburg, MD 20886
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | 8116 (MD) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1710375589
Koku Adela's National Provider Identifier is 1710375589, issued on Jan 2, 2015. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Gaithersburg, MD. The record was last updated on Jan 2, 2015.