Individual provider · Type 1 NPI
Terdell Mychal Dawes
Private Vehicle · Fort Defiance, AZ
NPI number
1952642647
Active
Practice location
Pigeon Springs Nha Housing 062
Fort Defiance, AZ 86504
Fax (928) 729-5475
Mailing address
PO Box 74
St. Michaels, AZ 86511-0074
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Private Vehicle Primary | 347C00000X | None listed |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
About NPI 1952642647
Terdell Mychal Dawes's National Provider Identifier is 1952642647, issued on Mar 6, 2013. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Mar 6, 2013.