Individual provider · Type 1 NPI
Omar Edmond
Driver · Suffolk, VA
NPI number
1780105809
Active
Practice location
118 Fayette St
Suffolk, VA 23434-5458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | A69694616 (VA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
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About NPI 1780105809
Omar Edmond's National Provider Identifier is 1780105809, issued on Jun 28, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Suffolk, VA. The record was last updated on Jun 28, 2017.