Individual provider · Type 1 NPI

Jake Charlie

Driver · Tuba City, AZ

NPI number 1851691638 Active

Practice location

167 N. Main Street
Tuba City, AZ 86045-0600

Call (928) 283-2501 Map

Mailing address

PO Box 600
Tuba City, AZ 86045-0600

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XCNA999953632 (AZ)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1851691638

Jake Charlie's National Provider Identifier is 1851691638, issued on Oct 27, 2010. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Tuba City, AZ. The record was last updated on Oct 27, 2010.