Individual provider · Type 1 NPI
Timothy De Jurnett
Driver · Long Beach, CA
NPI number
1811588668
Active
Practice location
4422 N Banner Dr Apt 4
Long Beach, CA 90807-2335
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.
Other driver providers in Long Beach
About NPI 1811588668
Timothy De Jurnett's National Provider Identifier is 1811588668, issued on Feb 2, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Long Beach, CA. The record was last updated on Feb 2, 2021.