Individual provider · Type 1 NPI

Tasheka Rena Stewart

Driver · Amite, LA

NPI number 1962075531 Active

Practice location

10652 HIGHWAY1045
Amite, LA 70422

Mailing address

11466 James Rd
Amite, LA 70422-5620

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

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

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About NPI 1962075531

Tasheka Rena Stewart's National Provider Identifier is 1962075531, issued on Jul 21, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Amite, LA. The record was last updated on Jul 21, 2021.